Beebe, Bradford Michael
Beebe, Bradford Michael is an individual health care provider with primary practice located at 355 Quartermaster Ct , Jeffersonville IN 47130-3670. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beebe, Bradford Michael can be contacted via phone (812) 258-9802.Contact Information
Primary practice address
355 Quartermaster Ct
Jeffersonville IN 47130-3670
Phone: (812) 258-9802
Fax: (765) 454-9759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 101602 | Kentucky |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | COBA.122 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 128036 | Kentucky |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0834 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040970A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 128036 | Kentucky |
Profile Details
| NPI number | 1356344469 |
|---|---|
| LBN Legal business name | Beebe, Bradford Michael |
| Credentials | PHD, HSPP, BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Nov 22nd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356344469 | NPPES |
| Indiana | MEDICAID | 200185410A | |
| Indiana | Other | 1-04-2089 |
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