Mason, Malia Tanisha

Mason, Malia Tanisha is an individual health care provider with primary practice located at 1100 W Town And Country Rd Ste 1250 , Orange CA 92868-4633. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Mason, Malia Tanisha can be contacted via phone (949) 357-2556.

Contact Information

Primary practice address
1100 W Town And Country Rd Ste 1250 Orange CA 92868-4633
Phone: (949) 357-2556
Fax: (855) 568-2494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1114168275
LBN Legal business name Mason, Malia Tanisha
Credentials RAS-I
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated May 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114168275 NPPES
California MEDICAID 197247

Popular Providers