Bradley Latherow
Bradley Latherow is a Behavior Technician in Cocoa, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
453 King StCocoa, FL 32922-7621
Phone: (321) 633-5511
Fax: (321) 208-7441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1346822764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2021 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
| Mailing address | 453 King St, Cocoa, FL 32922-7621 |
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