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

Kelley Basso

Individual provider Behavior Technician · NPI 1548954456

Kelley Basso is a Behavior Technician in Springfield, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

3921 Pintail Dr
Springfield, IL 62711-6738
Phone: (217) 843-0290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1548954456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address3921 Pintail Dr, Springfield, IL 62711-6738

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