Individual
KSENIYA GUTMAN BRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1116 20TH STREET SOUTH, PMB #51, BIRMINGHAM, AL 35205-2612
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20143
LA
Other
Enumeration date
08/02/2016
Last updated
02/12/2026
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