MS. MALLORY SHIRAZI BCBA - NPI 1649766619 - Behavior Analyst in San Diego, CA

Q: What is Mallory Shirazi's NPI number?

The NPI number for Mallory Shirazi is 1649766619. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Q: What is Mallory Shirazi'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 Mallory Shirazi was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Ms. Mallory Shirazi Bcba NPPES

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

MS. MALLORY SHIRAZI BCBA (NPI 1649766619) is an individual behavior analyst provider in San Diego, California, licensed in California (1-22-58477) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1649766619

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. MALLORY SHIRAZICredential: BCBA

Location Address2667 CAMINO DEL RIO S STE 102San Diego, CA 92108-3763

Mailing Address3110 Camino Del Rio SSan Diego, CA 92108-3812 · (619) 795-9925

Phone(619) 782-0700

Sole ProprietorNo

Enumeration DateJuly 2, 2018

Last NPPES UpdateMarch 24, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1649766619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-22-58477

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

2667 CAMINO DEL RIO S STE 102, San Diego, CA 92108

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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.

LINDSEY DODDS BCBA

Behavior Analyst