Healthcare Provider Details

I. General information

NPI: 1437656022
Provider Name (Legal Business Name): ZARAH KATHERINE MASON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6232 N 7TH ST STE 100
PHOENIX AZ
85014-1850
US

IV. Provider business mailing address

2809 N 81ST WAY
SCOTTSDALE AZ
85257-1712
US

V. Phone/Fax

Practice location:
  • Phone: 480-495-5822
  • Fax:
Mailing address:
  • Phone: 480-495-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-51522
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: