NPI 1003611716

Zachary Mallory, RBT

Practitioner Behavior Technician Muncie, IN

Practice location

Address: 3001 N Granville Ave, Muncie, IN 47303-2155
Phone: (765) 213-7488
Mailing address: 3006 Eastpoint Pkwy, Louisville, KY 40223-4185

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-323371 (IN)

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Registry record

NPI: 1003611716
Entity type: Individual
Sex (as registered): U
NPI issued: 17 Feb 2025
Record last updated: 17 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.