NPIMap

Organization Active NPI

Mallory Q. Stinger

  • Behavior Technician
  • Graham, WA
National Provider Identifier
1184401374
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
MALLORY Q. STINGER
Practice address
10817 206TH St E
Graham, WA 98338-8841
Phone
(406) 249-6412
Fax
(855) 249-2776
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Leah Somers, CB61418990
Title
Certified Behavior Technician
Phone
(406) 249-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

10817 206TH St E
Graham, WA 98338-8841

Mailing address

2950 Aspenway Dr
Helena, MT 59601-6601
Phone (406) 249-6412

Other names 1

  • Mallory Stinger Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mallory Q Stinger2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1184401374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 ASPENWAY DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596016601",
            "telephone_number": "406-249-6412",
            "fax_number": "855-249-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10817 206TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388841",
            "telephone_number": "406-249-6412",
            "fax_number": "855-249-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY Q. STINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CERTIFIED BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "406-249-6412",
        "authorized_official_credential": "CB61418990"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallory Stinger",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.