Most Relevant Information
Provider Data
NPI Number: | 1003235342 |
Provider Name: | LACHRYSTAL BRAGGS |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 04/15/2014 |
Last Updated: | 04/15/2014 |
Provider Practice Location
400 W 76TH ST
216A
CHICAGO
IL
606201640
Practice Location Phone/Fax
Phone: | 8722075028 |
Fax: |
Provider Mailing Location
400 W 76TH ST
216A
CHICAGO
IL
606201640
Provider Mailing Phone/Fax
Phone: | 8722075028 |
Fax: |