Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holley Basham

Individual provider Behavior Technician · NPI 1336767011

Holley Basham is a Behavior Technician in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

403 SW 103rd Ave Apt 304
Pembroke Pines, FL 33025-1881
Phone: (954) 330-7611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 19-83055 (FL)

Record details

NPI number1336767011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address403 Sw 103rd Ave Apt 304, Pembroke Pines, FL 33025-1881

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