MALLORY LUCIUS (NPI# 1124684683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124684683 |
| Entity Type | Individual |
| Full Name | MALLORY LUCIUS |
| Practice Address |
26121 Us Route 11 Ste 1 Evans Mills NY 13637-3283 |
| Mailing Address |
Po Box 253 Skillman NJ 08558-0253 |
| Practice Telephone | 3152215101 |
| Practice Fax Number | 3156814613 |
| Mailing Telephone | 3152215101 |
| Mailing Fax Number | 3156814613 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
26121 US ROUTE 11 STE 1 |
| City | EVANS MILLS |
| State | NY |
| Zip Code | 13637-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750629523 | Jennifer M Quinn-white | Speech-Language Pathologist | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2013-01-29 |
| 1982253514 | Emily Lesperance | Occupational Therapist | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2019-09-06 |
| 1760954119 | Shelby M Brand | Speech-Language Pathologist | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-12-26 |
| 1831674308 | Nicholas A Sprague | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-09-30 |
| 1538664412 | Alicia Fitzsimmons | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-03-24 |
| 1659889210 | Paulette Fabien | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1417465089 | Ann Marie Crescent | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1346758919 | Jennifer Leamer | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1386152957 | Dana Sheehy | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1265940837 | Sarah Byers | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953257 | Indian River Central School | Local Education Agency (LEA) | 8442 S Main Street, Evans Mills, NY 13637 | 2011-12-29 |
| 1467766782 | Daniel W Krebs | Family Medicine | 26908 Independence Way, Samaritan Family Health Center - Leray, Evans Mills, NY 13637 | 2010-07-28 |
| 1427370774 | David Stetson Bombard | Pharmacist | 25737 Us Rt 11, Evans Mills, NY 13637 | 2010-02-26 |
| 1467663344 | Carthage Area Hospital Inc. | Obstetrics & Gynecology | Route 11 Freedom Plaza, Evans Mills, NY 13637 | 2007-05-24 |
| 1437230992 | Shara Peets | Specialist | Us Rt. 11, Evans Mills, NY 13637 | 2006-10-18 |
| 1134442379 | Jennifer Joyce Kerley | Pharmacist | 25737 Us Route 11, Evans Mills, NY 13637 | 2010-03-02 |
| 1366530958 | Evans Mills Volunteer Ambulance Squad Inc | Ambulance | 8733 Factory St, Evans Mills, NY 13637-0113 | 2006-10-10 |
| 1891862314 | Evans Mills Volunteer Ambulance Squad Inc | Ambulance | 8733 Factory St, Evans Mills, NY 13637-0113 | 2006-11-29 |
| 1063923167 | Alyse Munoz | Social Worker | 25659 County Route 16, Evans Mills, NY 13637-3104 | 2017-10-16 |
| 1760639231 | Leon France | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-26 |
| Find all providers in zip 13637 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396243242 | Lindsay Mills | Behavior Technician | 25969 Red Tail Ln, Evans Mills, NY 13637-3427 | 2018-01-25 |
| 1831674308 | Nicholas A Sprague | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-09-30 |
| 1538664412 | Alicia Fitzsimmons | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-03-24 |
| 1659889210 | Paulette Fabien | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1417465089 | Ann Marie Crescent | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1346758919 | Jennifer Leamer | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1386152957 | Dana Sheehy | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1265940837 | Sarah Byers | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2018-01-17 |
| 1699280040 | Lissa Bonnstetter | Behavior Technician | 26121 Us Route 11 Ste 1, Evans Mills, NY 13637-3283 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861610 | Abigail Elangovan | Behavior Technician | 8 The Pl, Glen Cove, NY 11542-2489 | 2020-11-05 |
| 1225639404 | Kareen Brown | Behavior Technician | 1902 149th St # R, Whitestone, NY 11357-3116 | 2020-11-04 |
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1184223729 | Fabienne Noreva Nelson | Behavior Technician | 116 Fillmore Ave, Deer Park, NY 11729-7004 | 2020-10-24 |
| 1932708807 | Shiga Sunny | Behavior Technician | 247 Jericho Tpke, New Hyde Park, NY 11040-4516 | 2020-10-22 |
| 1649878877 | Diamond White | Behavior Technician | 40 Lorraine Ave Apt 3b, Mount Vernon, NY 10553-1254 | 2020-10-09 |
| 1376141663 | Shenissa M Hyde | Behavior Technician | 2765 Matthews Ave Apt 5a, Bronx, NY 10467-8620 | 2020-10-09 |
| 1346847928 | Tamika Rodriguez | Behavior Technician | 4317 162nd St Apt 3, Flushing, NY 11358-3107 | 2020-10-06 |
| 1750998027 | Jill Terry | Behavior Technician | 9 Benedict Ln, New Windsor, NY 12553-8632 | 2020-09-30 |
| 1205443744 | Alina Fedorov | Behavior Technician | 457 Adams Ave, Staten Island, NY 10306-5422 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | EVANS MILLS |
| Zip Code | 13637 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.