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1952123457
CHAS EDWARD BRADFORD-GREEN
PHOENIX, AZ
NPI
1952123457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-23-313765)
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
CHAS EDWARD BRADFORD-GREEN RBT
2001 N 3RD ST STE 100
PHOENIX, AZ 85004-1495
Phone number: 602-922-6760
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Mailing Address
CHAS EDWARD BRADFORD-GREEN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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