Individual
ANTONIA J BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7313 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 213-7350
Mailing address
63 BRENTWOOD CIR # 63, EVANSVILLE, IN 47715-3385
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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