MANDY MICHELLE BASHAM

SPRINGFIELD, MO
NPI1366045635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: MO  2024025674)
Additional Taxonomies106E00000X Assistant Behavior Analyst
(Licence: MO  0-23-14446)
106S00000X Behavior Technician
(Licence: MO  RBT-20-143411)
Enumeration Date2020-11-19
Last Update Date2024-07-08
Business Address
MANDY MICHELLE BASHAM BCaBA
3048 S CLIFTON AVE STE 112
SPRINGFIELD, MO 65807-6045
Phone number: 417-818-5784
Mailing Address
MANDY MICHELLE BASHAM BCaBA
3048 S CLIFTON AVE STE 112
SPRINGFIELD, MO 65807-6045
Phone number: 417-818-5784