| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELSEY REBECCA MASON | 1689331076 | 2021-11-21 |
Kelsey Rebecca Mason is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689331076. Registration indicates Kelsey Rebecca Mason is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Kelsey Rebecca Mason |
| Practice Office Address | 1420 PLAZA DR WINSTON SALEM, NC US |
| Practice Office Telephone | 3365607878 |
| Mailing Address | 2217 KING GEORGE CT WINSTON SALEM, NC 271035648 US |
| Business Telephone | 2525152603 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |