Nikki Lee Bradley

NPI #1861966749 in Ashburn, Virginia

Provider Information

NPI Number: 1861966749
Entity Type: Individual
Name: Nikki Lee Bradley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 44927 GEORGE WASHINGTON BLVD STE 265
City: Ashburn
State: Virginia
ZIP Code: 20147-4294
Phone: (571) 799-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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