Harold Bradshaw

NPI 1043675432 · on the registry since 2015

Practice

Address: 5725 Highland Dr
Casper, WY 82609
Phone: (307) 265-4073
Fax: (307) 265-2460
Organisation at this address: The Healing Place
The Healing Place At Highland Park Community Church
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming