MALLORY ANNE FANDAL MA PBA, BCABA
NPI 1851800221
Behavior Analyst in Covington, LA

Q: What is Mallory Fandal's NPI number?

The NPI number for Mallory Fandal is 1851800221. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Mallory Fandal'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 Fandal was last updated on July 21, 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.

Active since September 28, 2017

3999 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433(985) 871-0689 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Feb 22, 2018 (3 updates tracked since 2018).

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About Mallory Anne Fandal Ma Pba, Bcaba NPPES

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

MALLORY ANNE FANDAL MA PBA, BCABA (NPI 1851800221) is an individual behavior analyst provider in Covington, Louisiana, licensed in Louisiana (L-271) and active in the NPI registry since September 2017. She maintains a secondary practice location in Metairie.

NPPES Registry Identity

NPI1851800221

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMALLORY ANNE FANDALCredential: MA PBA, BCABA

Location Address3999 HIGHWAY 190 EAST SERVICE RDCovington, LA 70433-4914

Mailing Address3999 Highway 190 East Service RdCovington, LA 70433-4914 · (985) 871-0689

Phone(985) 871-0689

Sole ProprietorYes

Enumeration DateSeptember 28, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1851800221 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 LA · L-271

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 ListedAssistant Behavior AnalystTaxonomy 106E00000X · License C015 (LA)

3999 HIGHWAY 190 EAST SERVICE RD, Covington, LA 70433

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Secondary Practice Location 1

Location 12612 Metairie RdMetairie, LA 70001-5426 · Phone (504) 309-5679 · Fax (504) 309-5679

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Other Providers at the Same Location NPPES 7

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

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