WILLIAM MICHEAL BRADFORD (NPI# 1487297511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487297511 |
| Entity Type | Individual |
| Full Name | WILLIAM MICHEAL BRADFORD |
| Practice Address |
1607 W 32nd St Pueblo CO 81008-1313 |
| Practice Telephone | 7195658829 |
| Mailing Telephone | 7195658829 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275067340 | William Bradford | Internal Medicine | 4150 V St Ste 3100, Sacramento, CA 95817-1460 | 2017-04-16 |
| 1467728550 | William Robert Bradford | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Ste 690, Louisville, KY 40202-3841 | 2012-03-22 |
| 1851579585 | William Dale Bradford | Counselor | 483 West Seedfarm Road, Sacaton, AZ 85247-0038 | 2008-02-05 |
| 1396748877 | William B Bradford | Radiology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | 2005-05-27 |
| 1598925125 | William Tate Bradford | Anesthesiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2008-06-17 |
| 1376748798 | William James Bradford | Counselor | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2007-06-16 |
| 1659488724 | William R Bradford | Surgery | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2006-08-24 |
| 1023046869 | William Bradford | Anesthesiology | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-06-29 |
| 1033152343 | William S Bradford | Surgery | 617 S Main St, Reidsville, NC 27320-5019 | 2006-06-14 |
| 1477591642 | William Bradford | Emergency Medicine | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-06-02 |
| Street Address |
1607 W 32ND ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378321 | Applied Behavioral Concepts, LLC | Behavioral Analyst | 1607 W 32nd St, Pueblo, CO 81008-1313 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505116 | Buck Jack LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-10-12 |
| 1376141572 | Buck Jack LLC | Behavioral Analyst | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2020-10-12 |
| 1801493473 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-10-06 |
| 1346847910 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2020-10-06 |
| 1801401153 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-09-14 |
| 1982217097 | Buck Jack LLC | Behavioral Analyst | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2020-08-28 |
| 1619580735 | Buck Jack LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-08-28 |
| 1295378321 | Applied Behavioral Concepts, LLC | Behavioral Analyst | 1607 W 32nd St, Pueblo, CO 81008-1313 | 2019-10-22 |
| 1477026623 | Alfredo Fuccilli Jr. | Behavioral Analyst | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-01-09 |
| 1124599576 | Darian K Fencl | Behavioral Analyst | 401 Broadway Ave, Pueblo, CO 81004-2127 | 2018-12-11 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.