MEDICARE: CHRISTY 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
1	106E00000X	Assistant Behavior Analyst		NV

General Provider Information

NPI Number	:	1689535627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY MASON

Provider Business Mailing Address
First Line	:	3601 W SAHARA AVE STE 111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-5822
Country	:	US
Telephone Number	:	725-255-7865
Fax Number	:	725-255-7865

Provider Business Practice Location Address
First Line	:	3601 W SAHARA AVE STE 111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-5822
Country	:	US
Telephone Number	:	725-255-7865
Fax Number	:	725-255-7865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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Directions to “ CHRISTY MASON ” Practice Location

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