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Individual
MALLORY BEVIS
Active
Individual
MALLORY BEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00352800
NJ
103K00000X
Behavior Analyst
Primary
814
CT
Other
Enumeration date
03/19/2020
Last updated
04/28/2026
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