Active NPI
Jessica Ann Mason, BCBA, LBA
- Behavior Analyst
- Whitley City, KY
National Provider Identifier
1073026480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 175251
- Practice address
- 1878 Sandhill Rd
Whitley City, KY 42653-4164 - Phone
- (606) 516-2148
- NPI assigned
- Nov 7, 2017
- Last updated
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 175251 | KY | Primary |
Addresses
Primary practice location
1878 Sandhill Rd
Whitley City, KY 42653-4164
Mailing address
PO Box 1363
Whitley City, KY 42653-1363
Phone (606) 516-2148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175251 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175251 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1073026480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1363",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426531363",
"telephone_number": "606-516-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1878 SANDHILL RD",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426534164",
"telephone_number": "606-516-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "175251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175251",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitley City, KY
- Nicole Shaylyn Link, PHARMD
- George William Loze, PHYSICAL THERAPIST
- Tiffani Maggard
- Maranda Manning
- Charlotte Louise Marlow, LPCC
- McCreary County Judge (McCreary County Ambulance Service)
- McCreary County Primary Care LLC
- McCreary Medical Resources, LLC
- McCreary Primary Care Center, Inc
- Tracy M McDonald, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.