Most Relevant Information
Provider Data
| NPI Number: | 1003460106 |
| Provider Name: | AJENE BASS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2019 |
| Last Updated: | 07/26/2019 |
Provider Practice Location
1050 FULTON AVE STE 2325
SACRAMENTO
CA
958254272
Practice Location Phone/Fax
| Phone: | 9169742599 |
| Fax: |
Provider Mailing Location
1050 FULTON AVE STE 2325
SACRAMENTO
CA
958254272
Provider Mailing Phone/Fax
| Phone: | 9169742599 |
| Fax: |