Taylor McKenna Bass
Behavior Technician in Arkadelphia, AR. Individual provider (NPI-1).
NPI number1033972799
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1033972799
- Entity type
- Individual (NPI-1)
- Name
- Taylor McKenna Bass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | AR | Yes |
Practice location
702 Hickory StArkadelphia, AR 71923-5040
Phone 870-464-1337 · Fax 870-464-1338
Mailing address
702 Hickory StArkadelphia, AR 71923-5040
Phone 870-464-1337 · Fax 870-464-1338
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