Individual
KATHLEEN BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3928 BYRON RD, HUNTINGDON VALLEY, PA 19006-2323
(267) 402-8421
Mailing address
3928 BYRON RD, HUNTINGDON VALLEY, PA 19006-2323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700235348
—
PA
Enumeration date
07/21/2016
Last updated
07/21/2016
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