Provider Demographics
NPI:1427641422
Name:MASON, ALLISON (BCBA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 MARTA ST SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-3917
Mailing Address - Country:US
Mailing Address - Phone:330-605-6327
Mailing Address - Fax:
Practice Address - Street 1:3720 DRESSLER RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2700
Practice Address - Country:US
Practice Address - Phone:330-309-3133
Practice Address - Fax:877-319-8160
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X
OHRBT-21-156351106S00000X
OHCOBA.01340103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician