Most Relevant Information
Provider Data
| NPI Number: | 1003590415 |
| Provider Name: | JESSICA BASS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2023 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
2770 CARPENTER RD STE 100
ANN ARBOR
MI
481084104
Practice Location Phone/Fax
| Phone: | 7345855053 |
| Fax: |
Provider Mailing Location
2400 SCIENCE PKWY
OKEMOS
MI
488642560
Provider Mailing Phone/Fax
| Phone: | 5173748066 |
| Fax: |