Individual
BRADLEY J DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
149 KATHANN DR # B, HAMPTON, VA 23605-1254
(434) 610-9856
Mailing address
3630 GEORGE WASHINGTON MEM HWY STE D, YORKTOWN, VA 23693-3350
(757) 528-9271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
06/03/2025
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