Mallory Shotwell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1081 Oak St
Pittston, PA 18640-3716

Phone

(888) 726-4774

Fax

(570) 362-5112

NPI assigned

Nov 13, 2021

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1326704313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SR 92 S",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576916",
            "telephone_number": "570-369-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 OAK ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403716",
            "telephone_number": "888-726-4774",
            "fax_number": "570-362-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTWELL",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Sedora
• Deep I. Shah, DMD
• Erica Shearer
• Sylvia Shemelewski
• Erin J Shepard, CRNP
• Jessica Lee Shudak, PT
• Holly Ann Shuta, RPH
• Shauna McKenna Sick, LAT, ATC
• Silver Care, Inc.
• Joseph L Sipple Jr., PTA

• Behavior Analyst in Pittston, PA
• Providers in Pittston, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.