| NPI | 1265041461 |
|---|---|
| Former Name | COLLYN MEREDITH BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-24-70815) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2024-02-13 |