IndividualActive
Brady Bass
NPI 1790452050 · Behavior Technician · Eustis, FL
Provider details
- NPI number
- 1790452050
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2138 Sandridge Cir
Eustis, FL 32726-4486
Phone: (352) 405-6532
Fax: (844) 352-7745
Approximate (ZIP-level) locationGet directions
Mailing address
45324 Kentucky St
Paisley, FL 32767-9637
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.