Individual
MALLORY ANNE HAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 618-3302
Mailing address
112 ADRIS PL, DOTHAN, AL 36303-1997
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2025-111
AL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB859936
RBT-22-251967
AL
Enumeration date
04/04/2023
Last updated
08/12/2025
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