Individual provider Active NPI

Mallorie Paige Galjour, BCBA, LBA

  • Behavior Analyst
  • Covington, LA
National Provider Identifier
1609306117
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-922 Issued in LA
Practice address
19374 N 3Rd St
Covington, LA 70433-8813
Phone
(504) 444-3647
NPI assigned
Jun 16, 2017
Sex
Female
Sole proprietor
No

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.

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

State licenses

LicenseStateTypeSpecialty
L-922LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Arches ABA Therapy, LLC Behavior Analyst CurrentSince Sep 29, 2024 Accepting new patients

Locations

19374 N 3rd St
Covington, LA 70433
Phone (504) 444-3647

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L-922 LA Primary
Behavior Technician 106S00000X LA

Addresses

NPPES NPI Registry

Primary practice location

19374 N 3Rd St
Covington, LA 70433-8813

Mailing address

580 Lotus Dr N Apt 7
Mandeville, LA 70471-6752
Phone (985) 507-3232

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2024.

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1609306117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LOTUS DR N APT 7",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716752",
            "telephone_number": "985-507-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19374 N 3RD ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338813",
            "telephone_number": "504-444-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALJOUR",
        "first_name": "MALLORIE",
        "middle_name": "PAIGE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-16",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-922",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.