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

Mandy Michelle Basham, BCABA

Individual provider Assistant Behavior Analyst · NPI 1366045635

Mandy Michelle Basham, BCABA is an Assistant Behavior Analyst in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
Specialties on file
3

Practice location Address checks out

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
Phone: (417) 818-5784
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2024025674 (MO)
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 0-23-14446 (MO)
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-143411 (MO)

Record details

NPI number1366045635
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCABA
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address3048 S Clifton Ave Ste 112, Springfield, MO 65807-6045

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