Elizabeth Anne Mallinen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7709 W Meadow Lark LN
Rathdrum, ID 83858-8874

Phone

(509) 481-3828

NPI assigned

May 15, 2023

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serene Integrative Services, LLC

  • Multi-Specialty Clinic/Center
  • Post Falls, ID
  • NPI 1366122806

  Behavior Technician

  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1144910910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 W MEADOW LARK LN",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588874",
            "telephone_number": "509-481-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 W MEADOW LARK LN",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588874",
            "telephone_number": "509-481-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Joint School Disrict #272
• Lakeland Physical Therapy and Sports Injuries P a (North Idaho Physical Therapy)
• Keri Gloria Lee
• Lighthouse Counseling LLC
• Lorene H Lindley MD PC
• Luke T Mallory, DPT
• MBS Therapy Services LLC
• McDonald Family Practice and Telehealth
• Kayle Lynn McDonald, FNP
• McNamara Family Dentistry

• Behavior Technician in Rathdrum, ID
• Providers in Rathdrum, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.