DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY ENGELHARDT

Active Sole Proprietor

MALLORY ENGELHARDT is a Behavior Analyst healthcare provider located in FOND DU LAC, Wisconsin. NPI 1467088005 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · FOND DU LAC, WI

Registration Details

NPI Number
1467088005
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2020 (6.6216392646973 yrs)
Last Updated
Dec 15, 2020
Licenses
1-20-4110
12041110 (WI)
Sole Proprietor
Yes

Practice Information

Address
371 E 1ST ST
FOND DU LAC, WI, 549354563
Browse WI providers · Browse ZIP 54935
Phone
9209073967
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in FOND DU LAC, WI

Name Credential NPI
KELLY MARIE DOLL — 1851959803
MAKENNA MITCHELL — 1346808185
EMILY CONNOVICH — 1437791431
MARY DURANT — 1780293134
ANGELA FELLENZ BCBA 1730796046
MRS. MELISSA JOY SCHMIDT — 1063113207
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.