Individual
BRADLEY NEIL RUNSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
4712 E 2ND ST, SUITE 140, LONG BEACH, CA 90803-5309
(714) 273-4429
(818) 937-0883
Mailing address
1433 FOOTHILL BLVD, LA CANADA, CA 91011-2109
(714) 273-4429
(818) 937-0883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15531
CA
Other
Enumeration date
09/15/2014
Last updated
08/09/2016
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