Individual
CARLEY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17210 MIDLAND DR, SHAWNEE, KS 66217-8901
(913) 777-9718
Mailing address
5400 ROCK CHALK DR APT 24101, LAWRENCE, KS 66049-5169
(913) 306-5964
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
KS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/08/2021
Last updated
01/15/2025
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