Provider Demographics
NPI:1184424889
Name:MASON, AIYANA SHEYENNE
Entity type:Individual
Prefix:
First Name:AIYANA
Middle Name:SHEYENNE
Last Name:MASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1998 BARRET CT STE A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-7527
Mailing Address - Country:US
Mailing Address - Phone:270-832-2252
Mailing Address - Fax:
Practice Address - Street 1:1998 BARRET CT STE A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-7527
Practice Address - Country:US
Practice Address - Phone:270-832-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician