Individual
HEATHER J BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 HICKORY ST, ABILENE, TX 79601-2336
(325) 603-3122
Mailing address
1702 CHUCKER CT, ABILENE, TX 79605-5410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8331
TX
Other
Enumeration date
05/06/2013
Last updated
05/20/2015
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