Individual
AUTUMN DAWN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12770 CIMARRON PATH STE 118, SAN ANTONIO, TX 78249-3415
(855) 374-4900
Mailing address
12770 CIMARRON PATH STE 118, SAN ANTONIO, TX 78249-3415
(855) 374-4900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-281364
TX
Other
Enumeration date
08/26/2024
Last updated
09/09/2024
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