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MR. SHANE JACKSON BASS
NPI 1942706106
Behavior Analyst in Clackamas, OR

Active since April 04, 2018
12901 SE 97TH AVE STE 180, CLACKAMAS, OR 97015(971) 206-6337 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Shane Jackson Bass NPPES

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

MR. SHANE JACKSON BASS (NPI 1942706106) is an individual behavior analyst provider in Clackamas, Oregon and active in the NPI registry since April 2018. He maintains a secondary practice location in Woodland Hills.

NPPES Registry Identity

NPI1942706106
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. SHANE JACKSON BASS
Location Address12901 SE 97TH AVE STE 180Clackamas, OR 97015-7903
Mailing Address16026 Ne Sandy Blvd Apt 130Portland, OR 97230-8810 · (360) 449-9685
Phone(971) 206-6337
Sole ProprietorYes
Enumeration DateApril 4, 2018
✔ NPI 1942706106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
12901 SE 97TH AVE STE 180, Clackamas, OR 97015
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Secondary Practice Location 1

Location 121600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · Phone (818) 345-2345 ext. 00000 · Fax (000) 000-0000

Other Providers at the Same Location NPPES 20

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

TANYA LYNN SORENSEN
Behavior Analyst
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
BENJAMIN WAYNE JOHNSON CNA
Behavior Technician
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
JONI LYNN BOLTON
Behavior Analyst
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
ALYSSA FINLEY
Behavior Technician
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
MRS. PATRICIA IRENE GRIMES
Assistant Behavior Analyst
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
ANDREW HARRINGTON
Behavior Technician
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
AALIYAH HAYNES
Behavior Technician
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337
CALIE CHAPMAN
Behavior Technician
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015
Clackamas County (971) 206-6337

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 Shane Bass's NPI number?

The NPI number for Shane Bass is 1942706106. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Shane Bass located?

Shane Bass practices at 12901 SE 97th Ave Ste 180, Clackamas, OR 97015. The listed phone number is (971) 206-6337.

What is Shane Bass's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shane Bass was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.