NPI 1043675432

Harold Bradshaw

Practitioner Behavior Analyst Casper, WY

Practice location

Address: 5725 Highland Dr, Casper, WY 82609-4382
Phone: (307) 265-4073
Fax: (307) 265-2460

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence PMFT-278 (WY)

Other Behavior Analyst providers in Wyoming →

Registry record

NPI: 1043675432
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2015
Record last updated: 29 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.