Bass, Krysta

Bass, Krysta is an individual health care provider with primary practice located at 2305 Arlington Ave S , Birmingham AL 35205-4111. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bass, Krysta can be contacted via phone (205) 957-0294.

Contact Information

Primary practice address
2305 Arlington Ave S Birmingham AL 35205-4111
Phone: (205) 957-0294
Fax: (205) 957-0298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2021-019 Alabama

Profile Details

NPI number 1033697248
LBN Legal business name Bass, Krysta
Credentials LBA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Mar 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033697248 NPPES
Alabama Other 2021-019 ALABAMA BEHAVIOR ANALYST LICENSING BOARD

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