NPI 1457893521 · live from the CMS NPI Registry
Ericka Braggs, BCBA
Behavior Analyst in San Diego, CA. National Provider Identifier 1457893521, active.
NPI record
| NPI | 1457893521 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10620 Treena St, San Diego, CA 92131 |
| Practice phone | 801-935-4171 |
| Mailing address | 515 S 700 E Ste 2a, Salt Lake City, UT 84102 |
| Enumerated | November 7, 2016 |
| Last updated | April 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 1-16-22193 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.