Mallory Engelhardt

Behavior Analyst · Fond Du Lac, WI

Individual Active NPI

NPI number 1467088005

Practice location

371 E 1st St
Fond Du Lac, WI 54935-4563
Phone
(920) 907-3967

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NPI record

NPI
1467088005
Entity type
Individual (Type 1)
Enumeration date
March 16, 2020
Last updated
December 15, 2020
Certified
December 15, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 12041110 WI
Behavior Analyst 103K00000X 1-20-4110 —

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone
(818) 345-2345

Other practice locations (1)

  • 5323 N 118th Ct, Milwaukee, WI 53225-3085 · (414) 296-5426

About Mallory Engelhardt

Mallory Engelhardt is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 371 E 1st St, Fond Du Lac, WI 54935-4563. The NPI number 1467088005 was assigned on March 16, 2020 and the record was last updated on December 15, 2020.

Mallory Engelhardt lists 2 licenses in the registry: #12041110 (WI) for Behavior Analyst; #1-20-4110 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Engelhardt?

The NPI number is 1467088005.

What is the phone number of Mallory Engelhardt?

The phone number listed for the practice location is (920) 907-3967.

Where is Mallory Engelhardt located?

371 E 1st St, Fond Du Lac, WI 54935-4563.

What is the taxonomy code for Mallory Engelhardt?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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