Individual
ALEXANDRIA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 SUNSET RIDGE DR, ROCKWALL, TX 75032-0005
(469) 458-9021
Mailing address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-234416
TX
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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