| NPI | 1972073542 |
|---|---|
| Other Name | JAKIYA BRADLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-57646) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-04-04 |