Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORAE ELIZABETH THEOBALD
ActiveMALLORAE ELIZABETH THEOBALD is a Behavior Analyst healthcare provider located in NORTHVILLE, Michigan. NPI 1205292422 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · NORTHVILLE, MI
Registration Details
- NPI Number
- 1205292422
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2016 (10.465425317 yrs)
- Last Updated
- Sep 19, 2019
- License
-
7401000261 (MI)
Practice Information
- Address
-
43334 7 MILE RDNORTHVILLE, MI, 481672249Browse MI providers · Browse ZIP 48167
- Phone
- 5178984868
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in NORTHVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURA MARIE WARD | — | 1477994374 |
| MELISSA NICOLE JOHNSTON | BCBA, LBA | 1386046498 |
| KELSEY DUTOT | — | 1174906226 |
| STEFANIE THEISEN | M.ED. BCBA | 1598117475 |
| REBECCA HUNSICKER | — | 1912424854 |
| ALEXIS KRISTINA NEDANIS | — | 1275052573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.