Individual
AJENE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 FULTON AVE STE 2325, SACRAMENTO, CA 95825-4272
(916) 974-2599
Mailing address
1050 FULTON AVE STE 2325, SACRAMENTO, CA 95825-4272
(916) 974-2599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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