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NPI Code Detail

MEDICARE: HOLLY LYNN MASON

MEDICARE: HOLLY LYNN 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 : 1881526895
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY LYNN MASON
Provider Business Mailing Address
First Line : 701 W KIMBERLY AVE STE 220
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6314
Country : US
Telephone Number : 714-879-4274
Fax Number :
Provider Business Practice Location Address
First Line : 701 W KIMBERLY AVE STE 220
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6314
Country : US
Telephone Number : 714-879-4274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ HOLLY LYNN MASON ” Practice Location

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