Active NPIIndividual provider

Myrna Bassam, MS, BCBA

Behavior Analyst in Englewood, New Jersey

NPI Number1932517323
Practice location
60 Grand Ave Ste 1, Englewood, NJ 07631-6583
Fax
844-364-3239
Last updated
October 11, 2022

Myrna Bassam is a Behavior Analyst based in Englewood, NJ. Myrna Bassam practices in Englewood, NJ and has the professional credentials of MS, BCBA. The NPI Number for Myrna Bassam is 1932517323 and holds a License No. BCBA 1-1314553 (CA). The current practice location address for Myrna Bassam is 60 Grand Ave Ste 1, Englewood, NJ 07631-6583 and can be reached out via phone at 201-849-4565 and via fax at 844-364-3239.

Provider Profile Details

NPI Number
1932517323
Provider Name
Myrna Bassam
Credential
MS, BCBA
Provider Entity Type
Individual
Gender
Female
Address
60 Grand Ave Ste 1, Englewood, NJ 07631-6583
Phone Number
201-849-4565
Fax Number
844-364-3239
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2014
Last Update Date
October 11, 2022
Certification Date
October 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Grand Ave Ste 1
Englewood, NJ 07631-6583
Zip
07631-6583
Phone Number
201-849-4565
Fax Number
844-364-3239
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
60 Grand Ave Ste 1
Englewood, NJ 07631-6583
City
Englewood
State
NJ
Zip
07631-6583
Phone Number
551-800-2441
Fax Number
844-364-3239

License Information

License Number
BCBA 1-1314553
License State
CA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Myrna Bassam, MS, BCBA?

The NPI number of Myrna Bassam, MS, BCBA is 1932517323. It was assigned on July 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Myrna Bassam, MS, BCBA?

Myrna Bassam, MS, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CA under license number BCBA 1-1314553.

Where does Myrna Bassam, MS, BCBA practice?

The practice location is 60 Grand Ave Ste 1, Englewood, NJ 07631-6583. The office can be reached at 201-849-4565 (phone) or 844-364-3239 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932517323 directly on the NPPES registry website.

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