Individual
AMANDA BASSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
2560 9TH ST, BERKELEY, CA 94710-2500
(510) 665-9700
Mailing address
2560 9TH ST, BERKELEY, CA 94710-2500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20902
CA
Other
Enumeration date
09/19/2015
Last updated
01/21/2016
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