| NPI | 1487468005 |
|---|---|
| Former Name | BEVERLY BRADFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |