Individual
REBEKAH LAURA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BIP
Contact information
Practice address
15335 N PRISTINE CIR, RATHDRUM, ID 83858-6073
(951) 313-9517
Mailing address
15335 N PRISTINE CIR, RATHDRUM, ID 83858-6073
(951) 313-9517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
ID
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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