Bradford, Elyse Wiseman

Bradford, Elyse Wiseman is an sole proprietor health care provider with primary practice located at 400 Renaissance Ctr Suite 2600, Detroit MI 48243-1502. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bradford, Elyse Wiseman can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
400 Renaissance Ctr Suite 2600 Detroit MI 48243-1502
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 6301014952 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1118442 Michigan

Profile Details

NPI number 1093090359
LBN Legal business name Bradford, Elyse Wiseman
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2011
Last updated Jan 7th, 2016 - 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.

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