CHANTEL A BASS

CUMMING, GA
NPI1871284026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  BACB922732)
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
Mrs. CHANTEL A BASS
1664 MARKET PLACE BLVD
CUMMING, GA 30041-7927
Phone number: 470-253-4121
Mailing Address
Mrs. CHANTEL A BASS
3439 LAKE END DR
LOGANVILLE, GA 30052-5809
Phone number: 470-304-6067