Individual provider Active NPI

Mallory Fisher, BCBA

  • Behavior Analyst
  • Tuscumbia, AL
National Provider Identifier
1619372018
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
105 W 2ND St
Tuscumbia, AL 35674-1935
Phone
(256) 324-7994
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X AL Primary

Addresses

Primary practice location

105 W 2ND St
Tuscumbia, AL 35674-1935

Mailing address

6755 County Line Rd
Russellville, AL 35654-3386
Phone (256) 324-7994

Other practice location 1

5910 Highway 43
Tuscumbia, AL 35674-7607
Phone (256) 324-7994

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

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Gears Behavioral Health and Services, LLC Behavior Analyst Current Accepting new patients

Locations

5910 Highway 43
Tuscumbia, AL 35674
Phone (256) 324-7994

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1619372018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 COUNTY LINE RD",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356543386",
            "telephone_number": "256-324-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 2ND ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741935",
            "telephone_number": "256-324-7994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5910 Highway 43",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356747607",
            "country_code": "US",
            "telephone_number": "256-324-7994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MALLORY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.