Individual
ANNA WALSH MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2001 NORIEGA ST, SAN FRANCISCO, CA 94122-4233
(717) 307-5890
Mailing address
2001 NORIEGA ST, SAN FRANCISCO, CA 94122-4233
(717) 307-5890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78980
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/01/2018
Last updated
02/19/2025
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