Kelly Renne' Bass, RBT Valid NPI
Individual provider · Behavior Technician · Lake Jackson, TX
- NPI
- 1205410461
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- 21166915 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
Practice location
105 Marigold St
Lake Jackson, TX 77566-4755
(832) 581-8511