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1225301153
LUCAS ALLEN BRADLEY
LODI, CA
NPI
1225301153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-06-2944 BCBA)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
Mr. LUCAS ALLEN BRADLEY BCBA
2561 IVORY LN
LODI, CA 95242-4811
Phone number: 209-224-4288
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Mailing Address
Mr. LUCAS ALLEN BRADLEY BCBA
2561 IVORY LN
LODI, CA 95242-4811
Phone number: 209-224-4288
Copy
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