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Individual

DANIELLE MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29639 BROAD ST, BRUCETON, TN 38317-2203
(925) 727-3712
Mailing address
3231 WILLAMETTE DR NE STE A, LACEY, WA 98516-1378
(360) 878-6434
(844) 452-1758

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61178341
TN
103K00000X
Behavior Analyst
Primary
BA61178341
WA
106S00000X
Behavior Technician
CB60859778
WA

Other

Enumeration date
06/13/2018
Last updated
07/13/2026
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