Individual
CHASITY MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 657-6692
Mailing address
520 REFLECTIONS CIRCLE, APT 207, CASSELBERRY, FL 32707
(470) 998-1751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1144930
—
Other
Enumeration date
10/08/2024
Last updated
12/03/2024
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