Mallory TQ Griffin, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

17-31784 Issued in AL

Practice address

2117 Metro Cir SW # a
Huntsville, AL 35801-5343

Phone

(256) 701-3134

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Everything on the Spectrum LLC

  • Behavior Analyst
  • Huntsville, AL
  • NPI 1194356816

  Behavior Technician

  NPD
• Applied Behavioral Concepts

  • Clinic/Center
  • Madison, AL
  • NPI 1710755871
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1770142887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 METRO CIR SW # A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015343",
            "telephone_number": "256-701-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Spenryn Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357581890",
            "country_code": "US",
            "telephone_number": "256-772-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MALLORY",
        "middle_name": "TQ",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "17-31784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Grice
• Lauren S Grider, ALC, NCC, CCFP
• Griffin Orthodontics PC
• Charles David Griffin, LCSW
• David Britt Griffin, M.D.
• Mary Ella Griffin, LPC
• Reshonda Griffin
• Sarah Griffin, CRNP
• Tammyier Griffin
• Linda Griffis, CRNP

• Behavior Technician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.