Provider Demographics
NPI:1649697269
Name:HATCHER, BRADLEY (BCBA)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:
Last Name:HATCHER
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 JULIE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-2042
Mailing Address - Country:US
Mailing Address - Phone:317-677-6198
Mailing Address - Fax:
Practice Address - Street 1:1375 E MORGAN ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1749
Practice Address - Country:US
Practice Address - Phone:317-677-6198
Practice Address - Fax:317-245-3401
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst