Individual
BORIS BRAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 4TH STREET, JONESBORO, LA 71251
(318) 259-1500
Mailing address
103 4TH ST, JONESBORO, LA 71251-3346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
05/21/2018
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