IndividualActive
Brad Dickey, BCBA
NPI 1760870661 · Behavior Analyst · Jackson, WY
Provider details
- NPI number
- 1760870661
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- 1-12-11844 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
536 E Kelly Ave
Jackson, WY 83001-8546
Phone: (715) 829-5195
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11231
Jackson, WY 83002
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2017-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.