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NPI Code Detail

MEDICARE: TAI MASON

MEDICARE: TAI 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
1106E00000XAssistant Behavior AnalystDE

General Provider Information

NPI Number : 1780514760
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAI MASON
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N WEST ST STE 1200
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-1058
Country : US
Telephone Number : 877-988-1962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ TAI MASON ” Practice Location

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