Individual
DR. CAROL BRADLEY
Active
Individual
DR. CAROL BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD, BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2050
TX
133V00000X
Registered Dietitian
Primary
03175
TX
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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