Individual provider Active NPI

Rita Mason, BCBA

  • Behavior Analyst
  • Pasadena, CA
National Provider Identifier
1730614397
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25523 Issued in CA
Practice address
890 S Rosemead Blvd
Ste 45
Pasadena, CA 91107
Phone
(216) 235-5852
Fax
(323) 544-6475
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-25523 CA Primary

Addresses

Primary practice location

890 S Rosemead Blvd
Ste 45
Pasadena, CA 91107

Mailing address

890 S Rosemead Blvd
Ste 45
Pasadena, CA 91107
Phone (323) 244-8300

Other practice location 1

1111 Baker St
Costa Mesa, CA 92626-4138
Phone (949) 910-6767

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proof Positive ABA Therapies Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1730614397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S ROSEMEAD BLVD",
            "address_2": "STE 45",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "323-244-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S ROSEMEAD BLVD",
            "address_2": "STE 45",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "216-235-5852",
            "fax_number": "323-544-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Baker St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264138",
            "country_code": "US",
            "telephone_number": "949-910-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "RITA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.