Individual
IMANI BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 TOWER OAKS BLVD STE 500, ROCKVILLE, MD 20852-4377
(301) 444-5001
Mailing address
14550 YORK RD, SPARKS, MD 21152-9307
(443) 330-7900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2612
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/11/2021
Last updated
05/15/2026
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