Jacob Alexander Bradshaw

NPI #1013296177 in Edmond, Oklahoma

Provider Information

NPI Number: 1013296177
Entity Type: Individual
Name: Jacob Alexander Bradshaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 8, 2011
Last Updated: Aug 8, 2011

Practice Location

Address: 1104 COLUMBIA COURT
City: Edmond
State: Oklahoma
ZIP Code: 73003
Phone: (405) 240-7003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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