Bradley Kosiba, B.S.
Behavior Analyst in Jacksonville, FL. Individual provider (NPI-1).
NPI number1457764656
StatusActive
Last updated in NPPESJun 4, 2014
Details
- NPI
- 1457764656
- Entity type
- Individual (NPI-1)
- Name
- Bradley Kosiba
- Credential
- B.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2014
- Last updated
- Jun 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
6867 Southpoint Dr NJacksonville, FL 32216-8043
Phone 904-619-6071
Mailing address
8343 Hogan Rd Apt 65Jacksonville, FL 32216-3147
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