Individual
MALLORY DANIELLE KINGREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
360 POLK ST, GREENWOOD, IN 46143-1623
(317) 888-1557
(317) 888-1571
Mailing address
9766 N KITCHEN RD, MOORESVILLE, IN 46158-6537
(317) 888-1557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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