Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY ANNE FANDAL, MA PBA, BCABA
Active Sole ProprietorMALLORY ANNE FANDAL, MA PBA, BCABA is a Behavior Analyst healthcare provider located in COVINGTON, Louisiana. NPI 1851800221 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · COVINGTON, LA
Registration Details
- NPI Number
- 1851800221
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2017 (8.847064169585 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
C015 (LA)L-271 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3999 HIGHWAY 190 EAST SERVICE RDCOVINGTON, LA, 704334914Browse LA providers · Browse ZIP 70433
- Phone
- 9858710689
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in COVINGTON, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNA ELIZABETH LOWE I | BCBA, LBA | 1144637588 |
| MRS. MICHELE LYNN GANDOLFO-MULLER | ABA THERAPIST | 1376933697 |
| KELLY DENNIS | BCBA, LBA | 1992233498 |
| MALLORIE PAIGE GALJOUR | BCBA, LBA | 1609306117 |
| KATIE OLIVIER | — | 1508386749 |
| MARY GRACE KEY | BS | 1346733870 |
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.