Jacob Alexander Bradshaw
Jacob Alexander Bradshaw is a Behavior Analyst in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1104 Columbia CtEdmond, OK 73003
Phone: (405) 240-7003
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1013296177 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2011 |
| Last updated in NPPES | August 8, 2011 |
| Mailing address | 1104 Columbia Ct, Edmond, OK 73003-6149 |
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