Tiara Mallory
Behavior Technician
3105 American Legion Rd
Chesapeake
, Virginia 23321-5654
Tiara Mallory
Behavior Technician
3105 American Legion Rd
Chesapeake
, Virginia 23321-5654
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Tiara Mallory
- 112 Suite Life Cir Ste L
- Newport News, VA
- Zip : 23606-2987
- Phone :
Second Address
- Tiara Mallory
- 3105 American Legion Rd
- Chesapeake, VA
- Zip : 23321-5654
- Phone : (757) 216-9541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-24889 | VA |
National Provider Identifier
| NPI | 1003301748 |
|---|---|
| Provider Name | Tiara Mallory |
| First Address | Newport News, VA 23606-2987 |
| Second Address | Chesapeake, VA 23321-5654 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2018 |
| Last Update Date | 26/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.