Johnnie A Bradford III
Assistant Behavior Analyst in Fresh Meadows, NY. Individual provider (NPI-1).
NPI number1982110037
StatusActive
Last updated in NPPESDec 26, 2017
Details
- NPI
- 1982110037
- Entity type
- Individual (NPI-1)
- Name
- Johnnie A Bradford III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2017
- Last updated
- Dec 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
6940c 186th Ln Apt 1cFresh Meadows, NY 11365-4411
Phone 917-435-8057
Mailing address
6940c 186th Ln Apt 1cFresh Meadows, NY 11365-4411
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