Individual
DR. BRADLEY SCOTT BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA
Contact information
Practice address
4710 COLONNADE PL APT 134, BIRMINGHAM, AL 35243-2409
(631) 790-3029
Mailing address
4710 COLONNADE PL APT 134, BIRMINGHAM, AL 35243-2409
(631) 790-3029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019-005
AL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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