Individual
BRADLEY KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 619-6071
Mailing address
8343 HOGAN RD APT 65, JACKSONVILLE, FL 32216-3147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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