Provider Demographics
NPI:1730614397
Name:MASON, RITA (BCBA)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:890 S ROSEMEAD BLVD
Mailing Address - Street 2:STE 45
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107
Mailing Address - Country:US
Mailing Address - Phone:323-244-8300
Mailing Address - Fax:
Practice Address - Street 1:890 S ROSEMEAD BLVD
Practice Address - Street 2:STE 45
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107
Practice Address - Country:US
Practice Address - Phone:216-235-5852
Practice Address - Fax:323-544-6475
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-17-25523103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst