Mallory Lynne Alveti
Individual provider Active NPI Behavior Analyst · Sherwood, AR
NPI 1902497076 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1902497076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1540 Country Club Rd
Sherwood, AR 72120-5095 - Phone
- (501) 753-5459
- Fax
- (501) 753-5463
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-169652 | AR | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics Plus Therapy Services, LLC | Past | Accepting new patients | |
| Pediatrics Plus Therapy Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-169652 | AR | |
| Behavior Analyst | 103K00000X | AR | Yes |
Addresses
Primary practice location
1540 Country Club Rd
Sherwood, AR 72120-5095
Mailing address
1540 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 753-5459
Other providers in Sherwood, AR
- K'Shonique Jokeah Adderley
- Adedamola Adepoju
- Amy Aldridge
- Michael K Alley
- Jamie Marisa Altom
- Amanda Lynn Amato
- American Hope and Health Clinic Associates LLC
- Amt Salon and Hair Replacement Center LLC
- Kaylen Danielle Anway
- Ar Life Transport
All providers in Sherwood, AR · Behavior Analyst in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.