Bascom, Charlene

Bascom, Charlene is an individual health care provider with primary practice located at 17235 N 75Th Ave Suite G-120, Glendale AZ 85308-0831. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bascom, Charlene can be contacted via phone (303) 989-8169.

Contact Information

Primary practice address
17235 N 75Th Ave Suite G-120 Glendale AZ 85308-0831
Phone: (303) 989-8169
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1720734445
LBN Legal business name Bascom, Charlene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2022
Last updated Feb 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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