McKenna Malloy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1820 E 17TH St Ste 330
Idaho Falls, ID 83404-6400

Phone

(208) 219-8336

NPI assigned

Aug 30, 2025

Last updated

Sep 15, 2025By the provider in NPPES

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": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1154200400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10602 N 37TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015498",
            "telephone_number": "208-219-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046400",
            "telephone_number": "208-219-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Magner
• Magno C. Santos MSN, FNP-C PLLC (Sunrise Mobile Medicine)
• Magno C. Santos MSN, FNP-C PLLC (SunRise Mobile Medicine)
• Magno C. Santos MSN, FNP-C PLLC (SunRise Mobile Medicine)
• Jude Garek Maki
• Ashley Lane Maloney, L.M.T.
• Susie L Manning
• Manual Physical Therapy Specialists (Idaho Physio)
• Manual Solutions PLLC (Jones Physical Therapy)
• Jared K. Manwaring, MD

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

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