Active NPIIndividual provider

Samiyah T Mallory

Behavior Technician in Randolph, Massachusetts

NPI Number1649008533
Practice location
41 Pacella Park Dr, Randolph, MA 02368-1755
Fax
—
Last updated
July 23, 2024

Samiyah T Mallory is a Behavior Technician based in Randolph, MA. Samiyah T Mallory practices in Randolph, MA. The NPI Number for Samiyah T Mallory is 1649008533. The current practice location address for Samiyah T Mallory is 41 Pacella Park Dr, Randolph, MA 02368-1755 and can be reached out via phone at 781-440-0400.

Provider Profile Details

NPI Number
1649008533
Provider Name
Samiyah T Mallory
Provider Entity Type
Individual
Gender
Female
Address
41 Pacella Park Dr, Randolph, MA 02368-1755
Phone Number
781-440-0400
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2024
Last Update Date
July 23, 2024
Certification Date
July 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
Zip
02368-1755
Phone Number
781-440-0400
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
City
Randolph
State
MA
Zip
02368-1755
Phone Number
781-440-0400

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samiyah T Mallory?

The NPI number of Samiyah T Mallory is 1649008533. It was assigned on July 23, 2024 and is currently active in the NPPES registry.

What is the specialty of Samiyah T Mallory?

Samiyah T Mallory is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Samiyah T Mallory practice?

The practice location is 41 Pacella Park Dr, Randolph, MA 02368-1755. The office can be reached at 781-440-0400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649008533 directly on the NPPES registry website.

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