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NPI Code Detail

MEDICARE: MRS. JULIA K BASS BCBA

MEDICARE:  MRS. JULIA K BASS  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystLBA0003RI
2103K00000XBehavior AnalystLABA849MA
3103K00000XBehavior Analyst1-04-1956

General Provider Information

NPI Number : 1043535594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIA K BASS BCBA
Provider Business Mailing Address
First Line : 215 TOLL GATE RD STE 309
Second Line :
City : WARWICK
State : RI
Zip : 02886-4463
Country : US
Telephone Number : 401-305-8937
Fax Number :
Provider Business Practice Location Address
First Line : 215 TOLL GATE RD STE 309
Second Line :
City : WARWICK
State : RI
Zip : 02886-4463
Country : US
Telephone Number : 401-305-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2010
Last Update Date : 05/16/2025

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Directions to “ MRS. JULIA K BASS BCBA” Practice Location

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