Most Relevant Information
Provider Data
| NPI Number: | 1003509480 |
| Provider Name: | JADE MASON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2023 |
| Last Updated: | 05/31/2023 |
Provider Practice Location
225 BROADHOLLOW RD STE 402
MELVILLE
NY
117474899
Practice Location Phone/Fax
| Phone: | 6313857780 |
| Fax: |
Provider Mailing Location
1000 MILL RD APT 3304
RONKONKOMA
NY
117791400
Provider Mailing Phone/Fax
| Phone: | 9172945958 |
| Fax: |