Individual provider · NPI-1

Chelsea Bradford, Teacher

Day Training/Habilitation Specialist · Little Rock, AR

NPI number1184038077
StatusActive
Last updated in NPPESJul 31, 2014

Details

NPI
1184038077
Entity type
Individual (NPI-1)
Name
Chelsea Bradford
Credential
Teacher
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2014
Last updated
Jul 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

10618 Breckenridge Dr
Little Rock, AR 72211-1802

Phone 501-217-8600

Mailing address

10618 Breckenridge Dr
Little Rock, AR 72211-1802

Phone 501-217-8600

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