Mallory Baldwin, MA

Individual provider Active NPI Behavior Analyst · Kansas City, MO

NPI 1760029284 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1760029284
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
2025013692 (MO)
Practice address
10502 N Ambassador Dr Ste 201
Kansas City, MO 64153-1291
Phone
(816) 608-1951
Fax
(800) 687-5070
NPI assigned
Dec 3, 2019
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 fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2025013692MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Support Now, LLC Behavior Analyst Current
since May 11, 2025
Accepting new patients

Locations

1349 S Fountain Dr
Olathe, KS 66061
Phone (913) 379-1655

4721 S Cliff Ave
Ste 103
Independence, MO 64055
Phone (816) 381-9090

10502 N Ambassador Dr
Ste 201
Kansas City, MO 64153
Phone (816) 608-1951

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 2025013692 MO Yes

Addresses

Primary practice location

10502 N Ambassador Dr Ste 201
Kansas City, MO 64153-1291

Mailing address

4721 S Cliff Ave Ste 103
Independence, MO 64055-6969
Phone (816) 608-1956

Other providers in Kansas City, MO

All providers in Kansas City, MO · Behavior Analyst in Missouri

Sources for this page

Verify at the official NPI Registry.