Individual
BRADIEN LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6315 N 16TH ST UNIT 224, PHOENIX, AZ 85016-1541
(480) 244-7065
Mailing address
6315 N 16TH ST UNIT 224, PHOENIX, AZ 85016-1541
(480) 244-7065
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-25-413093
AZ
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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