Individual provider Active NPI

Lee Landrum Mason, PH.D; BCBA-D

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1770898181
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3606
Practice address
501 W Cesar E Chavez Blvd
DB 0.220
San Antonio, TX 78207-4415
Phone
(210) 458-2007
Fax
(210) 458-7281
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 1-07-3606 Primary

Addresses

Primary practice location

501 W Cesar E Chavez Blvd
DB 0.220
San Antonio, TX 78207-4415

Mailing address

1 Utsa Cir
San Antonio, TX 78249-1644
Phone (210) 458-4524

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
The University of Texas at San Antonio 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1770898181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UTSA CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491644",
            "telephone_number": "210-458-4524",
            "fax_number": "210-458-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W CESAR E CHAVEZ BLVD",
            "address_2": "DB 0.220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782074415",
            "telephone_number": "210-458-2007",
            "fax_number": "210-458-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "LEE",
        "middle_name": "LANDRUM",
        "name_prefix": "Prof.",
        "credential": "PH.D; BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-07-3606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.