Most Relevant Information
Provider Data
| NPI Number: | 1003546664 |
| Provider Name: | MASON JIANG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2022 |
| Last Updated: | 10/14/2024 |
Provider Practice Location
605 STANDIFORD AVE STE 10
MODESTO
CA
953501000
Practice Location Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |
Provider Mailing Location
6303 BLUE LAGOON DR STE 400
MIAMI
FL
331266040
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |