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MALLORAE ELIZABETH THEOBALD
NPI 1205292422
Behavior Analyst in Northville, MI

Active since January 04, 2016
43334 7 MILE RD, NORTHVILLE, MI 48167(517) 898-4868 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 19, 2019, Jan 29, 2019, Jan 22, 2019 and 1 more (4 updates tracked since 2018).

About Mallorae Elizabeth Theobald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORAE ELIZABETH THEOBALD (NPI 1205292422) is an individual behavior analyst provider in Northville, Michigan, licensed in Michigan (7401000261) and active in the NPI registry since January 2016. She maintains a secondary practice location in Okemos.

NPPES Registry Identity

NPI1205292422
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMALLORAE ELIZABETH THEOBALD
Location Address43334 7 MILE RDNorthville, MI 48167-2249
Mailing Address43334 7 Mile RdNorthville, MI 48167-2249
Phone(517) 898-4868
Sole ProprietorNo
Enumeration DateJanuary 4, 2016
Last NPPES UpdateSeptember 19, 20194 updates tracked since enumeration
✔ NPI 1205292422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 7401000261
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
43334 7 MILE RD, Northville, MI 48167
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Secondary Practice Location 1

Location 12400 Science PkwyOkemos, MI 48864-5506 · Phone (517) 374-8066 · Fax (517) 374-5912

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY WHITE
Behavior Technician
43334 7 MILE RD
NORTHVILLE, MI 48167
Wayne County (248) 921-1559
JUNO OTTATHENGIL
Behavior Technician
43334 7 MILE RD
NORTHVILLE, MI 48167
Wayne County (844) 247-7222
SERENA WARRA
Behavior Technician
43334 7 MILE RD
NORTHVILLE, MI 48167
Wayne County (844) 263-1613
NYLA GRIFFIN RBT
Behavior Technician
43334 7 MILE RD
NORTHVILLE, MI 48167
Wayne County (844) 247-7222
CANDICE KWOK
Behavior Technician
43334 7 MILE RD
NORTHVILLE, MI 48167
Wayne County (844) 263-1613
ANTHONY COHEN
Behavior Technician
43334 7 MILE RD
NORTHVILLE, MI 48167
Wayne County (844) 263-1613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallorae Theobald's NPI number?

The NPI number for Mallorae Theobald is 1205292422. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Mallorae Theobald located?

Mallorae Theobald practices at 43334 7 Mile Rd, Northville, MI 48167. The listed phone number is (517) 898-4868.

What is Mallorae Theobald's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Mallorae Theobald accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mallorae Theobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallorae Theobald was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.