Individual
JESSIE LYN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(616) 301-8000
Mailing address
G3169 BEECHER RD, FLINT, MI 48532-3611
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
06/03/2026
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