Individual
ASHLEY BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1215 HIGHTOWER TRL STE B120, ATLANTA, GA 30350-6205
(770) 686-6506
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12150335
GA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
928306085
AETNA
GA
Enumeration date
07/09/2018
Last updated
08/06/2021
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