Most Relevant Information
Provider Data
| NPI Number: | 1003338039 |
| Provider Name: | EVAN MICHAEL BRADLEY MS, BCBA, LBS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | BH003470 |
Most Important Dates
| Enumeration Date: | 07/12/2017 |
| Last Updated: | 07/12/2017 |
Provider Practice Location
4 NESHAMINY INTERPLEX DR STE 204
FEASTERVILLE TREVOSE
PA
190536940
Practice Location Phone/Fax
| Phone: | 2675203301 |
| Fax: |
Provider Mailing Location
1320 W SOMERVILLE AVE APT 1019
PHILADELPHIA
PA
191412970
Provider Mailing Phone/Fax
| Phone: | 2679721717 |
| Fax: |