Individual provider Active NPI

Melissa Leigh Mason, M.S., BCBA

  • Behavior Analyst
  • St Augustine, FL
National Provider Identifier
1932361276
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27659 Issued in FL
Practice address
134 Wind Chime LN
St Augustine, FL 32095-0095
Phone
(954) 649-4760
Fax
(904) 587-1433
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 1-17-27659 FL Primary

Addresses

Primary practice location

134 Wind Chime LN
St Augustine, FL 32095-0095

Mailing address

134 Wind Chime LN
St Augustine, FL 32095-0095
Phone (954) 649-4760

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Helpers Autism Center LLC Behavior Analyst CurrentSince Mar 17, 2024 Accepting new patients
Autism Specialty Group LLC Behavior Analyst PastSince Jun 5, 2022 Accepting new patients
Autism Specialty Group LLC Behavior Analyst PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 3

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1932361276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WIND CHIME LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950095",
            "telephone_number": "954-649-4760",
            "fax_number": "904-587-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WIND CHIME LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950095",
            "telephone_number": "954-649-4760",
            "fax_number": "904-587-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MELISSA",
        "middle_name": "LEIGH",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-27659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.