Individual
MISS SAMANTHA CAITLIN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 W MARTIN LUTHER KING BLVD, CHATTANOOGA, TN 37402-2571
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11939946
TN
Other
Enumeration date
03/08/2013
Last updated
12/07/2021
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