Mallory Mae Ceyrolles

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-81733 Issued in IN

Practice address

8150 Oaklandon Rd Ste 102
Indianapolis, IN 46236-9554

Phone

(463) 290-0113

NPI assigned

Feb 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1114722113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 DUNSDIN DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687546",
            "telephone_number": "317-938-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 OAKLANDON RD STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369554",
            "telephone_number": "463-290-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEYROLLES",
        "first_name": "MALLORY",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-25-81733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuanny Kessin Cervantes
• Mallory Lauren Cescato, MD
• Rashelle Cesla, CPHT
• Kelly Cesnik
• Kaya Ceyhan
• CF. Peggs, LLC.
• CG Consulting and Therapy Services, LLC
• CG-Dsa, LLC
• CG-Dsa, LLC
• CG-Dsa, LLC

• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.