Individual
MASON ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3246 ROSS CLARK CIR, DOTHAN, AL 36303-3026
(334) 313-4896
Mailing address
115 MASON MILL RD, PIKE ROAD, AL 36064-3350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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