MR. Shane Jackson Bass

NPI #1942706106 in Clackamas, Oregon

Provider Information

NPI Number
1942706106
Entity Type
Individual
Name
MR. Shane Jackson Bass
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Analyst
Enumeration Date
Apr 4, 2018
Last Updated
Apr 4, 2018

Practice Location

Address
12901 SE 97TH AVE STE 180
State
Oregon
ZIP Code
97015-7903
Phone
(971) 206-6337

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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