Individual
BRADFORD COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
3303 TULANE AVE # 3, NEW ORLEANS, LA 70119-7185
(504) 270-4738
Mailing address
3303 TULANE AVE # 3, NEW ORLEANS, LA 70119-7185
(504) 270-4738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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