Individual
GARRETT BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8610 BRENTWOOD DR, LA VISTA, NE 68128-3377
(402) 916-4539
Mailing address
1223 GOLDEN GATE DR, PAPILLION, NE 68046-2837
(402) 916-4539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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