NPI 1902193113 · live from the CMS NPI Registry
Bradley Stephen Abner, M.S., BCBA
Developmental Therapist in Louisville, KY. National Provider Identifier 1902193113, active.
NPI record
| NPI | 1902193113 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Developmental Therapist 222Q00000X |
| Practice location | 857 Mallard Creek Rd, Louisville, KY 40207 |
| Practice phone | 502-314-0671 |
| Enumerated | July 8, 2011 |
| Last updated | October 24, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Developmental Therapist primary | 222Q00000X | 1-09-5792 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.