Mary Colleen Mahoney, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001974 Issued in VA

Practice address

802 W 14TH St FRNT Royal
Front Royal, VA 22630-2918

Phone

(571) 435-5947

NPI assigned

Apr 13, 2021

Last updated

Apr 13, 2021By the provider in NPPES

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

State licenses

Practice roles

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

• Liam's Chance Behavioral Services, LLC

  • Behavior Analyst
  • Front Royal, VA
  • NPI 1275185530
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1396325387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8934 CHIANTI TER",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365804",
            "telephone_number": "571-435-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W 14TH ST FRNT ROYAL",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302918",
            "telephone_number": "571-435-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MARY COLLEEN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Lucie, PA
• M Management Group LLC
• Sandra Stewart Mabry, CFNP
• Karolyn June Mack, M.S./C.C.C.-SLP
• Madison Macoff
• Alemayehu Lemma Mandefro
• Seana Louise Markham, AGACNP-BC
• Martha L. Whitney
• Arthi Kondal Marti, DDS
• Kacie Martin, LCSW

• Behavior Analyst in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.