Erin E Malleolo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-11-4009 Issued in NY

Practice address

79 Vassar Rd
Poughkeepsie, NY 12603-5450

Phone

(914) 489-1261

NPI assigned

Mar 4, 2011

Last updated

Mar 4, 2011By 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

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1164720801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 VASSAR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035450",
            "telephone_number": "914-489-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 VASSAR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035450",
            "telephone_number": "914-489-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEOLO",
        "first_name": "ERIN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "0-11-4009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Majurie, LPN
• Rutendo Denise Makonyonga, M.D
• Joseph Malak, M.D.
• Vanessa Maldonado
• Sehrish Malik
• Tami Mallet - Edwards
• Mariah Mallory
• Bulent Mamikoglu, M.D.
• Danah Lovett Manalo
• Antonio Mancarella, D.C.

• Behavior Analyst in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.