Individual provider Active NPI

Jacquelyn Marie Maloy, M.A., BCBA

  • Behavior Analyst
  • Citrus Heights, CA
National Provider Identifier
1265878896
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-12484 Issued in CA
Practice address
6330 Fountain Square Dr Unit 4422
Citrus Heights, CA 95611-5155
Phone
(916) 628-4802
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-12484 CA Primary

Addresses

Primary practice location

6330 Fountain Square Dr Unit 4422
Citrus Heights, CA 95611-5155

Mailing address

6330 Fountain Square Dr Unit 4422
Citrus Heights, CA 95611-5155
Phone (916) 628-4802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Missing Peace Consulting & Family Counseling, Inc. Behavior Analyst CurrentSince Dec 14, 2025 Accepting new patients

Locations

6330 Fountain Square Dr
Unit 4422
Citrus Heights, CA 95611
Phone (916) 628-4802

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1265878896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 FOUNTAIN SQUARE DR UNIT 4422",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956115155",
            "telephone_number": "916-628-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 FOUNTAIN SQUARE DR UNIT 4422",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956115155",
            "telephone_number": "916-628-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOY",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-12484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.