DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CARISSA MASON

MEDICARE: CARISSA MASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1558226647
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARISSA MASON
Provider Business Mailing Address
First Line : 34448 YUCAIPA BLVD UNIT A
Second Line :
City : YUCAIPA
State : CA
Zip : 92399-2412
Country : US
Telephone Number : 909-353-7547
Fax Number :
Provider Business Practice Location Address
First Line : 11799 SEBASTIAN WAY STE 13
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0708
Country : US
Telephone Number : 909-353-7547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

Similar Medicare Providers

1487518411 — KIMBERLY DEHESA
Practice Location Address:
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA
91730-0708
Practice Phone: 909-942-1630
Practice Fax:
1508720558 — WILLOW NORMAN
Practice Location Address:
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA
91730-0708
Practice Phone: 909-353-7547
Practice Fax:
1881559912 — VANESSA CORNEJO
Practice Location Address:
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA
91730-0708
Practice Phone: 909-353-7547
Practice Fax:
1447113345 — DENALI NINA PEOPLES
Practice Location Address:
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA
91730-0708
Practice Phone: 909-353-7547
Practice Fax:
1881557700 — DASANI EAGLES
Practice Location Address:
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA
91730-0708
Practice Phone: 909-784-5567
Practice Fax:
1942163803 — ALYSSA ROSE AMENDOLA
Practice Location Address:
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA
91730-0708
Practice Phone: 909-353-7547
Practice Fax:

Directions to “ CARISSA MASON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.