NPI 1043091150

Dylan Mason, PROVISIONALBCABA

Practitioner Behavior Analyst Kirkwood, MO

Practice location

Address: 338 S Kirkwood Rd STE 103, Kirkwood, MO 63122-6166
Phone: (314) 806-0735

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 2023041335 (MO)

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Registry record

NPI: 1043091150
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2023
Record last updated: 13 Oct 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.