Buckelew, Bradley

Buckelew, Bradley is an sole proprietor health care provider with primary practice located at 823 Dunlawton Ave , Port Orange FL 32127-4220. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Buckelew, Bradley can be contacted via phone (386) 589-8357.

Contact Information

Primary practice address
823 Dunlawton Ave Port Orange FL 32127-4220
Phone: (386) 589-8357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1639681406
LBN Legal business name Buckelew, Bradley
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2017
Last updated Jan 18th, 2019 - about 5 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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