Individual
KRYSTA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205-4111
(205) 957-0294
(205) 957-0298
Mailing address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021-019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-019
ALABAMA BEHAVIOR ANALYST LICENSING BOARD
AL
Enumeration date
07/31/2018
Last updated
03/05/2021
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