Ms Jill Lori Basso, MA BCBA is a
Behavior Analyst based in Santa Fe, New Mexico. Ms Jill Lori Basso is licensed to practice in New Mexico (license number 1-03-1109) and her current practice location is
1705 Medio St., Santa Fe, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 986-6114.
NPI number for Ms Jill Lori Basso is 1811168172 and her current mailing address is 1705 Medio St., Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811168172.
Healthcare Provider's Profile
| Full Name | Ms Jill Lori Basso |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 1705 Medio St., Santa Fe, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811168172
- Provider Enumeration Date: 03/14/2008
- Last Update Date: 11/09/2020
Medical Identifiers
Medical identifiers for Ms Jill Lori Basso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811168172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | CERT#1-03-1109 BCBA (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | 6162 (New Mexico) | Secondary |
| 103K00000X | Behavior Analyst | 1-03-1109 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jill Lori Basso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jill Lori Basso, MA BCBA
1705 Medio St.,
Santa Fe, NM 87501
Ph: (505) 986-6114 | Ms Jill Lori Basso, MA BCBA
1705 Medio St.,
Santa Fe, NM 87501
Ph: (505) 986-6114 |
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