Individual
BRIAN BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA-D
Contact information
Practice address
135 FOE CREEK CT, ROSWELL, GA 30076-4646
(925) 752-2119
Mailing address
135 FOE CREEK CT, ROSWELL, GA 30076-4646
(925) 752-2119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-21048
CA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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