Courtney Alyce Malloy, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2022-018 Issued in AL

Practice address

2244 North Rd Ste 116
Gardendale, AL 35071-2258

Phone

(855) 324-0885

Fax

(317) 520-8200

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Gardendale, AL
  • NPI 1376295469

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1487275533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 NORTH RD STE 116",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712258",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "COURTNEY",
        "middle_name": "ALYCE",
        "credential": "MA, BCBA,  LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-22-57913",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2022-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anelayne Luker, RBT
• Maggie Lyn Lumsden, M.S. CCC - SLP
• Kristi McKeever Lunceford, CRNP
• M Gray Pond DMD LLC (Leesa K Rogers DMD and Maggie G. Pond DMD)
• Annette Maria Magro, OTD, OTR/L
• Shannon Elizabeth Manthey
• Kristin Marcrum, LPTA
• Anna Katherine Martin, OTD, OTR/L
• Susan Mason
• Tiffany Matthews

• Behavior Analyst in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.