Dickey, Brad

Dickey, Brad is an individual health care provider with primary practice located at 536 E Kelly Ave , Jackson WY 83001-8546. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Dickey, Brad can be contacted via phone (715) 829-5195.

Contact Information

Primary practice address
536 E Kelly Ave Jackson WY 83001-8546
Phone: (715) 829-5195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-11844 Wyoming

Profile Details

NPI number 1760870661
LBN Legal business name Dickey, Brad
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2014
Last updated Sep 20th, 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.

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