Mason Hassane
Individual provider Active NPI Behavior Technician · Edmond, OK
NPI 1558073353 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1558073353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2248 NW 164TH St
Edmond, OK 73013-8801 - Phone
- (405) 562-3776
- Fax
- (405) 562-3313
- NPI assigned
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Behavioral | Current |
Accepting new patients |
Locations
2248 NW 164th St
Edmond, OK 73013
Phone (405) 562-3776
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OK | Yes |
Addresses
Primary practice location
2248 NW 164TH St
Edmond, OK 73013-8801
Mailing address
2248 NW 164TH St
Edmond, OK 73013-8801
Phone (405) 562-3776
Other providers in Edmond, OK
- Mary Hartfield
- Joshua D Harvey
- Leigh Marie Harvey
- Aisha Sohail Hasanjee
- Nadia Haslam
- John Timothy Hast
- Laurie J Hast
- Ruth Anne Hast
- Anastasia Hatcher
- Alyson Kym Hatfield
All providers in Edmond, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.