MALLORY ENGELHARDT
NPI 1467088005
Behavior Analyst in Fond Du Lac, WI

Q: What is Mallory Engelhardt's NPI number?

The NPI number for Mallory Engelhardt is 1467088005. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Q: What is Mallory Engelhardt's specialty?

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

Active since March 16, 2020

371 E 1ST ST, FOND DU LAC, WI 54935(920) 907-3967 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2020, Mar 16, 2020 (2 updates tracked since 2020).

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About Mallory Engelhardt NPPES

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

MALLORY ENGELHARDT (NPI 1467088005) is an individual behavior analyst provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (12041110) and active in the NPI registry since March 2020. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1467088005

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMALLORY ENGELHARDT

Location Address371 E 1ST STFond Du Lac, WI 54935-4563

Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345

Phone(920) 907-3967

Sole ProprietorYes

Enumeration DateMarch 16, 2020

Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration

NPPES CertifiedDecember 15, 2020

✔ NPI 1467088005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Licenses✔ Licensed in WI · 12041110✔ Licensed · 1-20-4110

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.

371 E 1ST ST, Fond Du Lac, WI 54935

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Secondary Practice Location 1

Location 15323 N 118th CtMilwaukee, WI 53225-3085 · Phone (414) 296-5426

Other Identifiers 1

Medicaid356-140WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and more.Insurance ›

Other Providers at the Same Location NPPES 16

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

NICOLE D KOON MS, BCBA

Behavior Analyst