Mallory Marie Gonyer, M.A., LPC, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18128 Issued in TX

Practice address

28286 Boerne Stage Rd. #3
Boerne, TX 78006

Phone

(830) 816-5510

Fax

(855) 421-1717

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Mindscapes Behavioral Health

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1619472669

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1790181477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28286 BOERNE STAGE RD. #3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-816-5510",
            "fax_number": "855-421-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28286 BOERNE STAGE RD. #3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-816-5510",
            "fax_number": "855-421-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 E Bandera Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062992",
            "country_code": "US",
            "telephone_number": "210-875-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONYER",
        "first_name": "MALLORY",
        "middle_name": "MARIE",
        "credential": "M.A., LPC, LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2023-10-18",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71038",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71038",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-18128",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-15-18128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Givens, MD
• Kathleen Theresa Gleason, LPC, NCC, DCFC
• Ashley Wolodzko Gleaves, M.D.
• Brandon Jesse Goff, DO
• David Joel Gomillion, DDS
• Roger Gonzales, LPC-ASSOCIATE
• Angela Marie Gonzalez
• Ashley Gonzalez, LVN
• Chanthal Gonzalez, LVN
• Isabel Gonzalez

• Behavior Analyst in Boerne, TX
• Providers in Boerne, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.