Tamarra Bass

NPI #1144805581 in Leesburg, Georgia

Provider Information

NPI Number: 1144805581
Entity Type: Individual
Name: Tamarra Bass
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 113 CREEKRIDGE DR
City: Leesburg
State: Georgia
ZIP Code: 31763-7001
Phone: (229) 869-0795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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