Joseph Bradley Randolph

NPI #1073236758 in Mount Dora, Florida

Provider Information

NPI Number: 1073236758
Entity Type: Individual
Name: Joseph Bradley Randolph
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 19, 2022
Last Updated: Sep 19, 2022

Practice Location

Address: 121 N HIGHLAND ST
City: Mount Dora
State: Florida
ZIP Code: 32757-5764
Phone: (813) 438-6796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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