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Contact Information

JILL L BASSO, MA BCBA
1705 MEDIO ST.
SANTA FE, NM87501
 Phone: 505-986-6114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Counselor

101Y00000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for JILL L BASSO · (Female)

NPI # 1811168172
Status Active
Credentials MA BCBA
Entity Individual
Enumeration date 03/14/2008
Last updated 11/09/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • License # CERT#1-03-1109 BCBA
  • NM License # 1-03-1109
  • NM License # 6162
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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