Jacob Alexander Bradshaw
Behavior Analyst
1104 Columbia Court
Edmond
, Oklahoma 73003
Jacob Alexander Bradshaw
Behavior Analyst
1104 Columbia Court
Edmond
, Oklahoma 73003
(405) 240-7003
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Jacob Alexander Bradshaw
- 1104 Columbia Ct
- Edmond, OK
- Zip : 73003-6149
- Phone : (405) 240-7003
Second Address
- Jacob Alexander Bradshaw
- 1104 Columbia Court
- Edmond, OK
- Zip : 73003
- Phone : (405) 240-7003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1013296177 |
|---|---|
| Provider Name | Jacob Alexander Bradshaw |
| First Address | Edmond, OK 73003-6149 |
| Second Address | Edmond, OK 73003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2011 |
| Last Update Date | 08/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.