CARLY BASHAM
NPI 1295631596
Behavior Technician in Fort Wayne, IN
About Carly Basham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY BASHAM (NPI 1295631596) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since October 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Basham's NPI number?
The NPI number for Carly Basham is 1295631596. It was assigned to this individual provider in the NPPES registry on October 15, 2026.
Where is Carly Basham located?
Carly Basham practices at 6210 Cornwallis Dr Apt 1A, Fort Wayne, IN 46804. The listed phone number is (219) 869-4045.
What is Carly Basham's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Carly Basham was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.