Mallary M Kassel, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3101 N Canterbury CT
Bloomington, IN 47404-1500

Phone

(812) 650-3032

Fax

(317) 663-1175

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1003304429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 HAMILTON CROSSING BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325400",
            "telephone_number": "317-249-2242",
            "fax_number": "317-663-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CANTERBURY CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041500",
            "telephone_number": "812-650-3032",
            "fax_number": "317-663-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEL",
        "first_name": "MALLARY",
        "middle_name": "M",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kare Clinic
• Rachel Wright Karem, PHD, CCC-SLP
• Karen Brosius LLC
• Karen Knight, LMHC, LLC
• Celine Kassab
• Jason Kasza, M.D.
• Kevin Joseph Kathman, ORT
• Sara Deann Katuzienski, RN, CDCES
• Hadassah Katz, CNM, CPM
• Hideki Kawanishi, M.D.

• Behavior Technician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.