Mallory Yager

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-21-11966 Issued in OH

Practice address

8522 Antlers TRL
North Ridgeville, OH 44039-6405

Phone

(440) 864-6450

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By 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

Electronic endpoints 1

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1326629403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 ANTLERS TRL",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396405",
            "telephone_number": "440-864-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 ANTLERS TRL",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396405",
            "telephone_number": "440-864-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "MALLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OH",
            "license": "0-21-11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "myager0921@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "8522 Antlers Trl",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440396405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Georgia Jean Zambataro
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• Assistant Behavior Analyst in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Assistant Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.