Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLEY BASHAM
Active Sole ProprietorHOLLEY BASHAM is a Behavior Technician healthcare provider located in PEMBROKE PINES, Florida. NPI 1336767011 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · PEMBROKE PINES, FL
Registration Details
- NPI Number
- 1336767011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2020 (6.054189364641 yrs)
- Last Updated
- Jul 9, 2020
- License
-
19-83055 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 SW 103RD AVE APT 304PEMBROKE PINES, FL, 330251881Browse FL providers · Browse ZIP 33025
- Phone
- 9543307611
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in PEMBROKE PINES, FL
| Name | Credential | NPI |
|---|---|---|
| DEENA M COLE | — | 1609128412 |
| MISS TARA-MARIE MALCOLM | — | 1518333780 |
| WILLIAN GUTIERREZ | — | 1083070908 |
| MARGARITA REIMON | — | 1144677758 |
| MARTHA GOMEZ | — | 1700234390 |
| ANDY CASANOVA RAMIREZ | — | 1871942425 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.