Cori Lashae Mallory

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007

Phone

(210) 598-2800

NPI assigned

Apr 10, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1912792912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007",
            "telephone_number": "210-598-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "CORI",
        "middle_name": "LASHAE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Mallery, M.D.
• Mary C Mallett
• Chaithanya Mallikarjun, MD
• Sandra Lynne Mallisham, FPMHNP-BC
• Mallku, LLC
• Ivory G Mallory
• William Mallott, MD
• Alex Malloy, DO
• Laurel Meredith Malloy, MED, LPC
• Farid Malof-Gilmore, MD

• Behavior Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.