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NPI Code Detail

MEDICARE: JASMINE MASON RBT

MEDICARE: JASMINE MASON RBT
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 TechnicianRBT-25-408547TX

General Provider Information

NPI Number : 1356135495
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MASON RBT
Provider Business Mailing Address
First Line : 8303 CACTUS WREN HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-4090
Country : US
Telephone Number : 503-270-0602
Fax Number :
Provider Business Practice Location Address
First Line : 12000 NETWORK BLVD STE 210
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3353
Country : US
Telephone Number : 210-209-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2025
Last Update Date : 07/19/2025

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