Ashley Bragg, BCBA, LBA
Individual provider Active NPI Behavior Analyst · Russell Springs, KY
NPI 1104644152 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1104644152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2465 Lakeway Dr
Russell Springs, KY 42642-4510 - Phone
- (606) 677-1166
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | KY | Yes |
Addresses
Primary practice location
2465 Lakeway Dr
Russell Springs, KY 42642-4510
Mailing address
215 Weed Keltner Rd
Edmonton, KY 42129-8814
Phone (270) 634-4377
Other providers in Russell Springs, KY
- Robert L. Bertram
- Barrett K Blakey
- Jana K Bowmer
- Macon Samuel Bradley
- Susan Bradshaw
- James Baxter Brown
- Shannon Lee Brown
- Angelia Shaw Bryant
- Heather Craft Bull
- Michael Burchett
All providers in Russell Springs, KY · Behavior Analyst in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.