Active NPI
Mallory Brianne Lowery, RBT
- Behavior Technician
- Oklahoma City, OK
National Provider Identifier
1043803489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-156107
- Practice address
- 13905 Technology Dr Ste 1a
Oklahoma City, OK 73134-1054 - Phone
- (539) 777-0940
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-156107 | OK | Primary |
Addresses
Primary practice location
13905 Technology Dr Ste 1a
Oklahoma City, OK 73134-1054
Mailing address
800 Chowning Ave Apt 6
Edmond, OK 73034-5132
Phone (405) 465-3639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YUQ897055988 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-156107 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1043803489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CHOWNING AVE APT 6",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345132",
"telephone_number": "405-465-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13905 TECHNOLOGY DR STE 1A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341054",
"telephone_number": "539-777-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "MALLORY",
"middle_name": "BRIANNE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT-21-156107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "YUQ897055988",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.