Active NPI
Danielle Mason
- Behavior Analyst
- Bruceton, TN
National Provider Identifier
1831682863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA61178341
- Practice address
- 29639 Broad St
Bruceton, TN 38317-2203 - Phone
- (925) 727-3712
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA61178341 | TN | Primary |
Addresses
Primary practice location
29639 Broad St
Bruceton, TN 38317-2203
Mailing address
3231 Willamette Dr NE Ste a
Lacey, WA 98516-1378
Phone (360) 878-6434
Other practice location 1
3231 Willamette Dr NE Ste A
Lacey, WA 98516-1378
Phone (360) 878-6434
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA61178341 | WA | MD | Behavioral Analyst |
| CB60859778 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831682863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 WILLAMETTE DR NE STE A",
"city": "LACEY",
"state": "WA",
"postal_code": "985161378",
"telephone_number": "360-878-6434",
"fax_number": "844-452-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29639 BROAD ST",
"city": "BRUCETON",
"state": "TN",
"postal_code": "383172203",
"telephone_number": "925-727-3712"
}
],
"practiceLocations": [
{
"address_1": "3231 Willamette Dr NE Ste A",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985161378",
"country_code": "US",
"telephone_number": "360-878-6434",
"fax_number": "844-458-1758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "BA61178341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bruceton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.