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Individual

BRADLEY BUCKELEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
455 SPRING DR, OCALA, FL 34472-8230
(386) 589-8357
Mailing address
455 SPRING DR, OCALA, FL 34472-8230
(386) 589-8357

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-01161
IA
103K00000X
Behavior Analyst
LBA0316
MN

Other

Enumeration date
11/01/2017
Last updated
12/04/2025
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