BRADLY M DANIELS

FORT WAYNE, IN
NPI1578129979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-18-74052)
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
BRADLY M DANIELS
10313 ABOITE CENTER RD
FORT WAYNE, IN 46804-5435
Phone number: 260-459-6040
Mailing Address
BRADLY M DANIELS
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
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