Individual
ASHLEY BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2465 LAKEWAY DR, RUSSELL SPRINGS, KY 42642-4510
(606) 677-1166
Mailing address
215 WEED KELTNER RD, EDMONTON, KY 42129-8814
(270) 634-4377
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
KY
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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