Individual
MICHAEL BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1469 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 477-6393
Mailing address
5212 HUNT MASTER DR APT K, MIDLOTHIAN, VA 23112-2710
(804) 339-0450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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