Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE JACKSON BASS
Active Sole ProprietorMR. SHANE JACKSON BASS is a Behavior Analyst healthcare provider located in CLACKAMAS, Oregon. NPI 1942706106 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · CLACKAMAS, OR
Registration Details
- NPI Number
- 1942706106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2018 (8.3358345626365 yrs)
- Last Updated
- Apr 4, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
12901 SE 97TH AVE STE 180CLACKAMAS, OR, 970157903Browse OR providers · Browse ZIP 97015
- Phone
- 9712066337
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| ALYSSIA PHELPS | — | 1760985667 |
| PAUL VOEGELE | MS, BCBA, LBA | 1134623044 |
| ELIZABETH CATHERINE RICHARDSON | — | 1326535964 |
| TANYA LYNN SORENSEN | — | 1013406107 |
| KATELYNN KERN | — | 1659863512 |
| ERIK MICHAEL HUGHES I | — | 1902390859 |
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.