Mallory Rochello Willbanks, BT
Behavior Analyst in Jonesboro, AR. Individual provider (NPI-1).
NPI number1962288134
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1962288134
- Entity type
- Individual (NPI-1)
- Name
- Mallory Rochello Willbanks
- Credential
- BT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Mallory Rochello Willbanks (Other Name)
Practice location
2808 Fox Meadow LaneJonesboro, AR 72404-9346
Phone 870-335-2240 · Fax 870-931-4457
Mailing address
2808 Fox Meadow LaneJonesboro, AR 72404-9346
Phone 870-335-2240 · Fax 870-931-4457
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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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All 34 Behavior Analyst providers in Jonesboro · All 5,919 providers in Jonesboro
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