IndividualActive
Holley Basham
NPI 1336767011 · Behavior Technician · Pembroke Pines, FL
Holley Basham is a Behavior Technician provider in Pembroke Pines, FL (NPI 1336767011).
Provider details
- NPI number
- 1336767011
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19-83055 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 Sw 103rd Ave Apt 304
Pembroke Pines, FL 33025-1881
Phone: (954) 330-7611
Approximate (ZIP-level) locationGet directions
Mailing address
403 Sw 103rd Ave Apt 304
Pembroke Pines, FL 33025-1881
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Frequently asked questions
- What is Holley Basham's NPI number?
- Holley Basham's National Provider Identifier (NPI) is 1336767011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holley Basham's specialty?
- Holley Basham is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Holley Basham located?
- Holley Basham's practice location on file with NPPES is 403 Sw 103rd Ave Apt 304, Pembroke Pines, FL 33025-1881.
- What is Holley Basham's phone number?
- The practice phone number listed in the NPPES registry for Holley Basham is (954) 330-7611.
- Is Holley Basham's NPI active?
- Yes — Holley Basham's NPI (1336767011) is active in the NPPES registry as of the last update on 2020-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.