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Individual

MR. BRADLEY SCOTT BEZILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
640 TIMBER DR E STE 120, GARNER, NC 27529-7883
(919) 999-0276
Mailing address
5305 FORSYTH PARK ST, RALEIGH, NC 27616-6682
(919) 999-0276

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/08/2013
Last updated
11/13/2025
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