Individual
BRADLEY RAMBHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
730 SW 4TH ST, CAPE CORAL, FL 33991-1984
(239) 645-0458
Mailing address
730 SW 4TH ST, CAPE CORAL, FL 33991-1984
(239) 645-0458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47636
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/23/2019
Last updated
11/03/2021
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