Wellformed AI

NPI 1821541277 · live from the CMS NPI Registry

Kseniya Gutman Bragan, BCBA

Behavior Analyst in Birmingham, AL. National Provider Identifier 1821541277, active.

NPI record

NPI1821541277 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1116 20th Street South, Pmb #51, Birmingham, AL 35205
Practice phone855-832-6727
Mailing address7108 S Kanner Hwy, Stuart, FL 34997
EnumeratedAugust 2, 2016
Last updatedFebruary 12, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-15-20143 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.