STACEY BASS

LEESBURG, FL
NPI1801286000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  1-14-16998)
Enumeration Date2015-01-27
Last Update Date2015-01-27
Business Address
-- STACEY BASS
1650 W MAIN ST STE 1 08371600
LEESBURG, FL 34748-2842
Phone number: 352-630-4133
Mailing Address
-- STACEY BASS
11716 CR 727
WEBSTER, FL 33597-4354
Phone number: 352-406-9638
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