Individual
DEONNA LASHA BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 AMNICOLA HWY, CHATTANOOGA, TN 37406-3605
(423) 205-3087
Mailing address
2826 AMNICOLA HWY, CHATTANOOGA, TN 37406-3605
(423) 205-3087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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