Sally Ross Mason

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

629 Phoenix Dr Ste 150
Virginia Beach, VA 23452-7341

Phone

(757) 837-0761

NPI assigned

Aug 11, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sally Ross Grant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1578119186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527341",
            "telephone_number": "757-837-0761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Phoenix Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527341",
            "country_code": "US",
            "telephone_number": "757-589-2165 x75758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "SALLY",
        "middle_name": "ROSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "GRANT",
            "middle_name": "ROSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janelle Lynn Mason, PH.D.
• Jon D Mason, MD
• Mary E. Mason, MD
• Pamela Mason
• Richard Mason Jr., LPC
• Stanley John Mason, DDS
• Tracy Mason
• Naghmana Masood, MD
• Ana Patricia Massara, NP
• Ashley Quinn Massart

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.