Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY WALTERS, BCBA
ActiveMALLORY WALTERS, BCBA is a Behavior Analyst healthcare provider located in EAST PEORIA, Illinois. NPI 1760068803 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · EAST PEORIA, IL
Registration Details
- NPI Number
- 1760068803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2021 (5.3773719525273 yrs)
- Last Updated
- Jun 7, 2024
- License
-
1-22-59328 (IL)
Practice Information
- Address
-
138 FIELD GROVE CTEAST PEORIA, IL, 616114323Browse IL providers · Browse ZIP 61611
- Phone
- 7137327049
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. TAO MARIE ALBRITTON | — | 1407298474 |
| SAMANTHA SMOCK | — | 1053931196 |
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.