Individual
CORETTA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 963-5355
Mailing address
10281 KIDD ST, RIVERSIDE, CA 92503-3469
(951) 715-5050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
103K00000X
Behavior Analyst
15-06327
CA
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/10/2015
Last updated
10/24/2024
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