Individual
COURTNEY ALYCE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
2244 NORTH RD STE 116, GARDENDALE, AL 35071-2258
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-57913
AL
103K00000X
Behavior Analyst
Primary
2022-018
AL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/29/2020
Last updated
07/18/2022
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