Provider Demographics
NPI:1780017947
Name:MASON, CHRISTOPHER RAY
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RAY
Last Name:MASON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 ASPEN PEAK LOOP
Mailing Address - Street 2:UNIT# 225
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-1803
Mailing Address - Country:US
Mailing Address - Phone:702-417-6354
Mailing Address - Fax:
Practice Address - Street 1:833 ASPEN PEAK LOOP
Practice Address - Street 2:UNIT# 225
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-1803
Practice Address - Country:US
Practice Address - Phone:702-417-6354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst