Bradley, Samuel Locke

Bradley, Samuel Locke is an individual health care provider with primary practice located at 309 E 2Nd St , Pomona CA 91766-1854. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Bradley, Samuel Locke can be contacted via phone (909) 469-5589.

Contact Information

Primary practice address
309 E 2Nd St Pomona CA 91766-1854
Phone: (909) 469-5589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1023662871
LBN Legal business name Bradley, Samuel Locke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2019
Last updated Apr 10th, 2024 - about last year

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.

Request for update

Popular Providers