Mr. Evan Michael Bradley
Behavior Analyst
4 Neshaminy Interplex Dr Ste 204
Feasterville Trevose
, Pennsylvania 19053-6940
Mr. Evan Michael Bradley
Behavior Analyst
4 Neshaminy Interplex Dr Ste 204
Feasterville Trevose
, Pennsylvania 19053-6940
(267) 972-1717
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Mr. Evan Michael Bradley
- 1320 W Somerville Ave Apt 1019
- Philadelphia, PA
- Zip : 19141-2970
- Phone : (267) 972-1717
Second Address
- Mr. Evan Michael Bradley
- 4 Neshaminy Interplex Dr Ste 204
- Feasterville Trevose, PA
- Zip : 19053-6940
- Phone : (267) 520-3301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | BH003470 | PA |
National Provider Identifier
| NPI | 1003338039 |
|---|---|
| Provider Name | Mr. Evan Michael Bradley |
| First Address | Philadelphia, PA 19141-2970 |
| Second Address | Feasterville Trevose, PA 19053-6940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1-17-25207 | BEHAVIOR ANALYSIS CERTIFICATION BOARD (01) | |
| BH003470 | LICENSED BEHAVIOR SPECIALIST (01) | PA |
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.