Bass, Stacey

Bass, Stacey is an individual health care provider with primary practice located at 1650 W Main St Ste 1 08371600, Leesburg FL 34748-2842. 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, Stacey can be contacted via phone (352) 630-4133.

Contact Information

Primary practice address
1650 W Main St Ste 1 08371600 Leesburg FL 34748-2842
Phone: (352) 630-4133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-16998 Florida

Profile Details

NPI number 1801286000
LBN Legal business name Bass, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2015
Last updated Jan 27th, 2015 - about 11 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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