Most Relevant Information
Provider Data
| NPI Number: | 1003348202 |
| Provider Name: | RITA ANN BRADSHAW MCKERRING PPSC |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2017 |
| Last Updated: | 03/28/2017 |
Provider Practice Location
501 W BROADWAY
SUITE 800
SAN DIEGO
CA
921013536
Practice Location Phone/Fax
| Phone: | 8888809270 |
| Fax: |
Provider Mailing Location
500 FAIRWAY DR
SUITE 102
DEERFIELD BEACH
FL
334411814
Provider Mailing Phone/Fax
| Phone: | 8888809270 |
| Fax: |