Kimberly Kersey Bass
Individual provider Active NPI Behavior Technician · Cameron, NC
NPI 1730971979 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1730971979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2293 NC 24-87
Cameron, NC 28326-6687 - Phone
- (910) 500-7783
- NPI assigned
- May 22, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2293 NC 24-87
Cameron, NC 28326-6687
Mailing address
7500 San Felipe St
Houston, TX 77063-1707
Phone (866) 610-0580
Other providers in Cameron, NC
- Autism Therapeutic Services
- Autism Therapeutic Services
- Carissa Bain
- Candace Barbee
- Aaron Demetrius Barnes
- Hannah Ellen Bates
- Radwa Samy Behairy
- Katherine Bender
- Bio-Medical Applications of North Carolina, Inc.
- Kamryn Blakely
All providers in Cameron, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.