Individual
DERONTAE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 MICHIGAN AVE NE APT 33N, WASHINGTON, DC 20017-4316
(202) 615-6602
Mailing address
126 MICHIGAN AVE NE APT 33N, WASHINGTON, DC 20017-4316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/03/2019
Last updated
04/01/2026
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