Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336767011 Individual Practitioner Female Practitioner

Holley Basham

Behavior Technician • Pembroke Pines, FL

Professional Overview & Biography Verified Profile Summary

Holley Basham is a registered healthcare professional specializing in Behavior Technician in Pembroke Pines, FL. Practice services are available at 403 SW 103RD AVE APT 304 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

403 Sw 103rd Ave Apt 304

Pembroke Pines, FL 330251881

Telephone 9543307611
Associated Practice Facility / Clinic
🏢 Behavior Change, Llc Facility NPI 1528601069

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Pembroke Pines, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
694 Specialists

Practicing in Pembroke Pines, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-09
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL 19-83055

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1073154118

Master of Science, Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2020

Registered at 403 SW 103RD AVE APT 304, PEMBROKE PINES, FL 330251881 (Tel: 9543307611)

📍
Updated Business Mailing Address July 09, 2020

Registered at 403 SW 103RD AVE APT 304, PEMBROKE PINES, FL 330251881

👤
Provider Name / Credentials Updated July 09, 2020

Recorded as HOLLEY BASHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2020

Behavior Technician (License #19-83055 in FL)

🟢
Initial NPI Registration & Enumeration July 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336767011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2020
Last Update: July 09, 2020
Sole Proprietor: Yes

Mailing Address

403 Sw 103rd Ave Apt 304

Pembroke Pines, FL 330251881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.