Individual
ANNETTE RAYE WRAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(718) 633-4411
Mailing address
54233 HIGHWAY 12, BLOOMFIELD, NE 68718-4067
(402) 641-1279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16375
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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