Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY L BLACK
ActiveMALLORY L BLACK is a Behavior Technician healthcare provider located in POQUOSON, Virginia. NPI 1578359212 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · POQUOSON, VA
Registration Details
- NPI Number
- 1578359212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2025 (1.1423905530674 yrs)
- Last Updated
- Apr 18, 2025
- License
-
RBT-25-427589 (VA)
Practice Information
- Address
-
241 DARDEN DRPOQUOSON, VA, 236621215Browse VA providers · Browse ZIP 23662
- Phone
- 7573562242
- Fax
- 2762425657
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in POQUOSON, VA
| Name | Credential | NPI |
|---|---|---|
| BOBBIE LAYNE HOLLOWAY | — | 1821661968 |
| APRYL M DEATON | — | 1649064734 |
| IMANI JANEA' PARKER | — | 1134001373 |
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.