NPI 1003509480
Jade Mason
Practice location
- Address
- 225 Broadhollow Rd STE 402, Melville, NY 11747-4899
- Phone
- (631) 385-7780
- Mailing address
- 1000 Mill Rd APT 3304, Ronkonkoma, NY 11779-1400
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003509480
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 May 2023
- Record last updated
- 31 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.