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

MALLORY ENGELHARDT

Active Sole Proprietor

Behavior Analyst · FOND DU LAC, WI

Registration Details

NPI Number
1467088005
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2020 (6.0996303145667 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.