Stacey Bass

NPI #1801286000 in Leesburg, Florida

Provider Information

NPI Number
1801286000
Entity Type
Individual
Name
Stacey Bass
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Enumeration Date
Jan 27, 2015
Last Updated
Jan 27, 2015

Practice Location

Address
1650 W MAIN ST STE 1
Address 2
08371600
State
Florida
ZIP Code
34748-2842
Phone
(352) 630-4133

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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