Individual
BRADLEY IVAN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
20014 JEWELL RD, BOTHELL, WA 98012-7317
(425) 949-0801
Mailing address
20014 JEWELL RD, BOTHELL, WA 98012-7317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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