Provider Demographics
NPI:1851017206
Name:BASES TECHNOLOGY, INC
Entity Type:Organization
Organization Name:BASES TECHNOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIZETT
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVA-VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-237-1483
Mailing Address - Street 1:2500 SW 107TH AVE STE 39
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2492
Mailing Address - Country:US
Mailing Address - Phone:786-237-1483
Mailing Address - Fax:305-437-8080
Practice Address - Street 1:2500 SW 107TH AVE STE 39
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2492
Practice Address - Country:US
Practice Address - Phone:786-237-1483
Practice Address - Fax:305-437-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty