Mallory Hart

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-97586 Issued in FL

Practice address

80 College Blvd E
Niceville, FL 32578-1343

Phone

(850) 279-3000

Fax

(850) 389-2269

NPI assigned

Sep 27, 2019

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 and National Provider Directory roles.

• Emerald Coast Autism Center

  • Community/Behavioral Health Agency
  • Niceville, FL
  • NPI 1972030617
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1669023982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 COLLEGE BLVD E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781343",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 COLLEGE BLVD E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781343",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-97586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Abels Hardeman, MED LMHC NCC CCMHC
• Anna Harney
• Harper Family Dentisty, PLLC
• Jordan Harper, D.M.D.
• Bradley Dale Harrelson, D.M.D.
• Paul D Hart, MD
• Linda Carter Hartman, MA, LMFT
• Ashley Hatley
• Ruby Lisa Hawkins-Jack, LCSW
• Danielle V. Hayes-Harris, RN

• Behavior Technician in Niceville, FL
• Providers in Niceville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.