Mallory Marovich
Behavior Technician in Elk Grove, CA. Individual provider (NPI-1).
NPI number1134082415
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1134082415
- Entity type
- Individual (NPI-1)
- Name
- Mallory Marovich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2025
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2218 Kausen Dr Ste 104Elk Grove, CA 95758-7178
Phone 888-428-3223 · Fax 323-866-1881
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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