Bass, Omar

Bass, Omar is an individual health care provider with primary practice located at 8430 W Lake Mead Blvd # 113 , Las Vegas NV 89128-7672. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Bass, Omar can be contacted via phone (702) 576-9892.

Contact Information

Primary practice address
8430 W Lake Mead Blvd # 113 Las Vegas NV 89128-7672
Phone: (702) 576-9892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1992226252
LBN Legal business name Bass, Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 2017 - about 9 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 1992226252 NPPES
Nevada MEDICAID 00000000

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