Mallory Walters, BCBA
Behavior Analyst · East Peoria, IL
Practice location
138 Field Grove CtEast Peoria, IL 61611-4323
- Phone
- (713) 732-7049
NPI record
- NPI
- 1760068803
- Entity type
- Individual (Type 1)
- Enumeration date
- March 19, 2021
- Last updated
- June 7, 2024
- Certified
- June 7, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
1-22-59328 | IL |
Other practice locations (1)
- 9374 Olive Blvd Ste 101, Olivette, MO 63132-3253 · (314) 932-2402
About Mallory Walters
Mallory Walters, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 138 Field Grove Ct, East Peoria, IL 61611-4323. The NPI number 1760068803 was assigned on March 19, 2021 and the record was last updated on June 7, 2024.
Mallory Walters lists a license in the registry: #1-22-59328 (IL) 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 Walters, BCBA?
The NPI number is 1760068803.
What is the phone number of Mallory Walters?
The phone number listed for the practice location is (713) 732-7049.
Where is Mallory Walters located?
138 Field Grove Ct, East Peoria, IL 61611-4323.
What is the taxonomy code for Mallory Walters?
The primary taxonomy code is 103K00000X – Behavior Analyst.
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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