NAKITA MALLORY

Behavior Technician

Active Individual
NPI: 1114744745

Practice Address

1101 STANDIFORD AVE STE A1
Modesto, CA 95350

Phone: (855) 223-7123

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114744745 is the National Provider Identifier for NAKITA MALLORY, a Behavior Technician provider located in Modesto, CA. This NPI was enumerated on September 24, 2024.
NAKITA MALLORY practices at 1101 STANDIFORD AVE STE A1, Modesto, CA 95350.

Quick Facts

NPI
1114744745
Type
Individual
Enumerated
Sep 24, 2024
Last Updated
Sep 24, 2024