Individual
JEREMIE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 291-7121
(702) 947-6335
Mailing address
9450 W HACIENDA AVE UNIT 108, LAS VEGAS, NV 89148-7721
(702) 984-0190
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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