Individual
RENEA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20601 N 19TH AVE STE 100, PHOENIX, AZ 85027-2666
(887) 540-3988
(954) 982-6491
Mailing address
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309-6112
(888) 754-0398
(954) 982-6491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/12/2020
Last updated
01/02/2024
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