Most Relevant Information
Provider Data
| NPI Number: | 1003470477 |
| Provider Name: | RACHEL LAURA BRADLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2019 |
| Last Updated: | 04/30/2019 |
Provider Practice Location
12235 BEACH BLVD STE 100
STANTON
CA
906803943
Practice Location Phone/Fax
| Phone: | 7142020118 |
| Fax: |
Provider Mailing Location
4738 CASTANA AVE
LAKEWOOD
CA
907123505
Provider Mailing Phone/Fax
| Phone: | 5628059824 |
| Fax: |