Individual
MADELEINE GISELLE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(757) 945-0646
Mailing address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30006
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/02/2018
Last updated
02/06/2020
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