NISHA DIANN MALLORY RBT
NPI 1467071332
Behavior Analyst in Jacksonville, FL

Q: What is Nisha Mallory's NPI number?

The NPI number for Nisha Mallory is 1467071332. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Q: What is Nisha Mallory's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nisha Mallory was last updated on April 10, 2020. 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.

Active since April 10, 2020

6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 32216(888) 754-0398 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nisha Diann Mallory Rbt NPPES

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

NISHA DIANN MALLORY RBT (NPI 1467071332) is an individual behavior analyst provider in Jacksonville, Florida, licensed in (103K00000) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1467071332

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameNISHA DIANN MALLORYCredential: RBT

Location Address6820 SOUTHPOINT PKWY STE 9Jacksonville, FL 32216-6277

Mailing Address1710 Wells Rd Apt 312Orange Park, FL 32073-2376 · (912) 657-9489

Phone(888) 754-0398

Sole ProprietorNo

Enumeration DateApril 10, 2020

NPPES CertifiedApril 10, 2020

✔ NPI 1467071332 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 · 103K00000

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.

6820 SOUTHPOINT PKWY STE 9, Jacksonville, FL 32216

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Other Providers at the Same Location NPPES 20

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

AMAYA FRANCIS MARIE MARZANO

Behavior Technician