Individual
COLE BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2917
(888) 392-8642
Mailing address
2485 SPRING GROVE DR APT 303, WINSTON SALEM, NC 27103-7066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84154
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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