Individual
SIREECE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21379 TULANE AVE APT 201, FARMINGTON HILLS, MI 48336-5670
(313) 829-3034
Mailing address
21379 TULANE AVE APT 201, FARMINGTON HILLS, MI 48336-5670
(313) 829-3034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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