Individual
MR. BRADLEY FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4163 NW FEDERAL HWY STE 22CD, JENSEN BEACH, FL 34957-3623
(772) 233-9385
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88357
FL
106S00000X
Behavior Technician
RBT-21-161729
FL
Other
Enumeration date
04/02/2021
Last updated
04/08/2026
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