Larry Shawn Bassham, EDD Valid NPI

Individual provider · Behavior Technician · Huntington Beach, CA

NPI

1164153417

Type

Individual (Type 1)

Primary specialty

Behavior Technician

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106S00000X

Sex

Male

Sole proprietor

No

Enumerated

2022-06-17

Last updated

2022-06-17