Elijah Bass
NPI #1902617707 in Stockton, California
Provider Information
- NPI Number
- 1902617707
- Entity Type
- Individual
- Name
- Elijah Bass
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jan 20, 2025
- Last Updated
- Jan 20, 2025
Practice Location
- Address
- 3120 W MARCH LN STE 2D
- City
- Stockton
- State
- California
- ZIP Code
- 95219-8235
- Phone
- (209) 688-4023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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