Beebe, Bradford Michael
Beebe, Bradford Michael is an individual health care provider with primary practice located at 355 Quartermaster Ct , Jeffersonville IN 47130-3670. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beebe, Bradford Michael can be contacted via phone (812) 258-9802.Contact Information
Primary practice address
355 Quartermaster Ct
Jeffersonville IN 47130-3670
Phone: (812) 258-9802
Fax: (765) 454-9759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 101602 | Kentucky |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | COBA.122 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 128036 | Kentucky |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0834 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040970A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 128036 | Kentucky |
Profile Details
| NPI number | 1356344469 |
|---|---|
| LBN Legal business name | Beebe, Bradford Michael |
| Credentials | PHD, HSPP, BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Nov 22nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356344469 | NPPES |
| Indiana | MEDICAID | 200185410A | |
| Indiana | Other | 1-04-2089 |
Popular Providers
-
Leavitt, Barry M
4801 W Peterson Ave Ste 525, Chicago IL 60646 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785 -
Tunnell, Gilbert B
222 W 14Th St Apt 10C, New York NY 10011-7209 -
Lepkowsky, Charles Michael
1143 Deer Trail Ln , Solvang CA 93463-9519 -
Hatfield, David Bonnell
1115 Elkton Dr Suite 403, Colorado Springs CO 80907-8507 -
Ciula, Bryan A
850 N Harrison St Attn: Anne Lawson, Warsaw IN 46580-3163 -
Sheppard, Tony
335 Spring St , Jeffersonville IN 47130-4480 -
Okon, Deborah Mcneil
315 W Reinken Ave Ste C, Belen NM 87002-4257