SearchWyoming103K00000X

Brad Dickey, BCBA

NPI 1760870661 · on the registry since 2014

Practice

Address
536 E Kelly Ave
Jackson, WY 83001
Phone
(715) 829-5195
Clinicians at this address
2

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-20

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