KASSIM BASS

Technician, Other

Active Individual
NPI: 1558876136

Practice Address

3730 GATLIN WOODS DR
Orlando, FL 32812

Phone: (855) 832-6727

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Technician, Other 247200000X Yes -

Frequently Asked Questions

NPI 1558876136 is the National Provider Identifier for KASSIM BASS, a Technician, Other provider located in Orlando, FL. This NPI was enumerated on December 5, 2017.
KASSIM BASS practices at 3730 GATLIN WOODS DR, Orlando, FL 32812.

Quick Facts

NPI
1558876136
Type
Individual
Enumerated
Dec 5, 2017
Last Updated
Apr 27, 2018

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