Individual
BRADLEY STEPHEN ABNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
857 MALLARD CREEK RD, LOUISVILLE, KY 40207-5481
(502) 314-0671
Mailing address
857 MALLARD CREEK RD, LOUISVILLE, KY 40207-5481
(502) 314-0671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
1-09-5792
FL
Other
Enumeration date
07/08/2011
Last updated
10/24/2012
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