Individual provider · Type 1 NPI

Mallory Walters, BCBA

Behavior Analyst · East Peoria, IL

NPI number 1760068803 Active

Practice location

138 Field Grove Ct
East Peoria, IL 61611-4323

Other practice locations

  • 9374 Olive Blvd Ste 101, Olivette, MO 63132-3253 · (314) 932-2402

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-22-59328 (IL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1760068803

Mallory Walters, BCBA's National Provider Identifier is 1760068803, issued on Mar 19, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in East Peoria, IL. The record was last updated on Jun 7, 2024.