Kristina L Masset

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24-338048 Issued in CO

Practice address

4710 Eagleridge Cir Ste 230
Pueblo, CO 81008-2176

Phone

(720) 551-2551

NPI assigned

Apr 8, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1760235089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 DRAKE ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051944",
            "telephone_number": "720-551-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 EAGLERIDGE CIR STE 230",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082176",
            "telephone_number": "720-551-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSET",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "24-338048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard-Dean Frank Marucci, M.D.
• Cynthia Mascarenas, CAC I
• Marie Louise Masciotra, RN,MSN
• Emerson Mason
• Jaydene Mason, N.P.
• Benjamin H Massey, MD
• Betty Ann Massino, MASSAGE THERAPIST
• Jennifer Sheree Masson, LPC
• Marcella Antoinette Masterson, FNP-BC
• Stephanie Mastroantonio, LCSW

• Behavior Technician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.