Corry, Bradley

Corry, Bradley is an individual health care provider with primary practice located at 515 S 700 E Ste 2A , Salt Lake City UT 84102-2855. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Corry, Bradley can be contacted via phone (801) 935-4171.

Contact Information

Primary practice address
515 S 700 E Ste 2A Salt Lake City UT 84102-2855
Phone: (801) 935-4171
Fax: (801) 935-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 11477183-2507 Utah

Profile Details

NPI number 1568974384
LBN Legal business name Corry, Bradley
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Oct 1st, 2019 - about 6 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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