NPI 1104644152 · live from the CMS NPI Registry
Ashley Bragg, BCBA, LBA
Behavior Analyst in Russell Springs, KY. National Provider Identifier 1104644152, active.
NPI record
| NPI | 1104644152 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2465 Lakeway Dr, Russell Springs, KY 42642 |
| Practice phone | 606-677-1166 |
| Mailing address | 215 Weed Keltner Rd, Edmonton, KY 42129 |
| Enumerated | September 30, 2024 |
| Last updated | September 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.