Jamall Brion Bradshaw
Behavior Analyst in Pomona, CA. Individual provider (NPI-1).
NPI number1679226781
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1679226781
- Entity type
- Individual (NPI-1)
- Name
- Jamall Brion Bradshaw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2022
- Certification date
- Jan 28, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | CA | Yes |
Practice location
801 Corporate Center DrPomona, CA 91768-2628
Phone 909-618-0974
Mailing address
25975 Zorra LnMoreno Valley, CA 92551-4114
Phone 951-522-9084
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