HOLLEY BASHAM
NPI 1336767011
Behavior Technician in Pembroke Pines, FL

Active since July 09, 2020
403 SW 103RD AVE APT 304, PEMBROKE PINES, FL 33025(954) 330-7611 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holley Basham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLEY BASHAM (NPI 1336767011) is an individual behavior technician in Pembroke Pines, Florida, licensed in Florida (19-83055) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1336767011
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameHOLLEY BASHAM
Location Address403 SW 103RD AVE APT 304Pembroke Pines, FL 33025-1881
Mailing Address403 Sw 103rd Ave Apt 304Pembroke Pines, FL 33025-1881
Sole ProprietorYes
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
NPI 1336767011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in FL · 19-83055
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
403 SW 103RD AVE APT 304, Pembroke Pines, FL 33025

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
403 SW 103RD AVE APT 304
PEMBROKE PINES, FL 33025
Behavior Technician
403 SW 103RD AVE APT 304
PEMBROKE PINES, FL 33025
Behavior Analyst
403 SW 103RD AVE APT 304
PEMBROKE PINES, FL 33025
Behavior Technician
403 SW 103RD AVE APT 304
PEMBROKE PINES, FL 33025

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 Holley Basham's NPI number?

The NPI number for Holley Basham is 1336767011. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Holley Basham located?

Holley Basham practices at 403 SW 103rd Ave Apt 304, Pembroke Pines, FL 33025. The listed phone number is (954) 330-7611.

What is Holley 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 Holley Basham was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.