Individual
BRADLEY ASSENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 EMBARCADERO STE 310, OAKLAND, CA 94606-5227
(510) 832-4383
Mailing address
1900 EMBARCADERO STE 310, OAKLAND, CA 94606-5227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16896
CA
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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