Individual
MICHAEL JOHN MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
7002 W BUTLER PIKE, AMBLER, PA 19002-5107
(215) 285-3688
Mailing address
207 CHARIOT LN APT K41, NORRISTOWN, PA 19403-5021
(484) 250-9269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007677
PA
Other
Enumeration date
05/28/2025
Last updated
06/10/2025
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