Bassam, Myrna

Bassam, Myrna is an individual health care provider with primary practice located at 60 Grand Ave Ste 1 , Englewood NJ 07631-6583. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bassam, Myrna can be contacted via phone (201) 849-4565.

Contact Information

Primary practice address
60 Grand Ave Ste 1 Englewood NJ 07631-6583
Phone: (201) 849-4565
Fax: (844) 364-3239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BCBA 1-1314553 California

Profile Details

NPI number 1932517323
LBN Legal business name Bassam, Myrna
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2014
Last updated Oct 11th, 2022 - about 4 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 1932517323 NPPES
California Other 11314553 BCBA

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