1. Home
  2. Directory
  3. Illinois
  4. East Peoria
  5. Behavior Analyst
  6. NPI Profile

MALLORY WALTERS BCBA
NPI 1760068803
Behavior Analyst in East Peoria, IL

Active since March 19, 2021
138 FIELD GROVE CT, EAST PEORIA, IL 61611(713) 732-7049 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2024, Mar 19, 2021 (2 updates tracked since 2021).

About Mallory Walters Bcba NPPES

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

MALLORY WALTERS BCBA (NPI 1760068803) is an individual behavior analyst provider in East Peoria, Illinois, licensed in Illinois (1-22-59328) and active in the NPI registry since March 2021. She maintains a secondary practice location in Olivette.

NPPES Registry Identity

NPI1760068803
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMALLORY WALTERSCredential: BCBA
Location Address138 FIELD GROVE CTEast Peoria, IL 61611-4323
Mailing Address138 Field Grove CtEast Peoria, IL 61611-4323 · (713) 732-7049
Phone(713) 732-7049
Sole ProprietorNo
Enumeration DateMarch 19, 2021
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1760068803 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 IL · 1-22-59328
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.
138 FIELD GROVE CT, East Peoria, IL 61611
Open in Google Maps ↗

Other Names 1

Former Name (1)Mallory Nicholson Rbt

Secondary Practice Location 1

Location 19374 Olive Blvd Ste 101Olivette, MO 63132-3253 · Phone (314) 932-2402

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 Mallory Walters's NPI number?

The NPI number for Mallory Walters is 1760068803. It was assigned to this individual provider in the NPPES registry on March 19, 2021. The provider is also known as Mallory Nicholson Rbt.

Where is Mallory Walters located?

Mallory Walters practices at 138 Field Grove Ct, East Peoria, IL 61611. The listed phone number is (713) 732-7049.

What is Mallory Walters's specialty?

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

When was this NPI record last updated?

The NPPES record for Mallory Walters was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.