Mallory Hilliard

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3780 Issued in MA

Practice address

103 Mechanic St # 484
East Brookfield, MA 01515

Phone

(413) 459-9565

Fax

(833) 431-1244

NPI assigned

Mar 22, 2017

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

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

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.

• Behavior Assist Inc

  • Behavior Analyst
  • North Brookfield, MA
  • NPI 1679197727
  NPD
• Luk Crisis Center Inc.

  • Community/Behavioral Health Agency
  • Fitchburg, MA
  • NPI 1306962741
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1790216786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PLEASANT ST",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013641911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MECHANIC ST # 484",
            "city": "EAST BROOKFIELD",
            "state": "MA",
            "postal_code": "01515",
            "telephone_number": "413-459-9565",
            "fax_number": "833-431-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara L Flanagan, MS.ED, BCBA, LABA
• Susan May Fortin, RN
• Paula J Fredericks, ED.D., BCBA-D, LABA
• Julie Hayden, BCBA, LABA
• Kelli Heon
• Lightwell Psychotherapy
• Meaningful Outcomes ABA, LLC
• PRN Care.PLLC
• Allison Rogowski, BCBA, LABA
• Sydney Sullivan, BCBA

• Behavior Analyst in East Brookfield, MA
• Providers in East Brookfield, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.