MALLORY INSELBERG (NPI# 1417591439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417591439 |
| Entity Type | Individual |
| Full Name | MALLORY INSELBERG |
| Credential | RBT |
| Practice Address |
583 Shoemaker Rd Ste 230 King of Prussia PA 19406-4238 |
| Practice Telephone | 4846812170 |
| Practice Fax Number | 4843208307 |
| Mailing Telephone | 4846812170 |
| Mailing Fax Number | 4843208307 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-83141 | PA | Behavioral Health & Social Service Providers |
| Street Address |
583 SHOEMAKER RD STE 230 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356741391 | Timothy Daniel Caldwell | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2014-08-27 |
| 1992306807 | Dominique Mcdaniels-baker | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-11-06 |
| 1417556200 | Elizabeth Vaughan | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-10-22 |
| 1023617826 | Megan Walsh | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-10-22 |
| 1063029049 | Kelly Barber | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-09-24 |
| 1912512807 | Stacy Paterson | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-09-09 |
| 1780299669 | Stephanie Metz | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-09-09 |
| 1902410988 | Elisabeth Sharkey | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-09-07 |
| 1588276588 | Eliana Segal | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-08-20 |
| 1710596705 | Zachary Troutman | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| 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 |
|---|---|---|---|---|
| 1992306807 | Dominique Mcdaniels-baker | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-11-06 |
| 1871194787 | Julie Duffy | Behavior Technician | 583 Shoemaker Rd, King of Prussia, PA 19406-4201 | 2020-11-06 |
| 1003417254 | Jordan Dimedio | Behavior Technician | 583 Shoemaker Rd, King of Prussia, PA 19406-4201 | 2020-11-04 |
| 1801496922 | Racheal S Wright | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-10-28 |
| 1578161147 | Jennifer Jones | Behavior Technician | 200 N Warner Rd Ste 210, King of Prussia, PA 19406-2842 | 2020-10-15 |
| 1689271975 | Alyssa Carbo | Behavior Technician | 583 Shoemaker Rd, King of Prussia, PA 19406-4201 | 2020-10-08 |
| 1962009670 | Tangy Evans | Behavior Technician | 583 Shoemaker Rd, King of Prussia, PA 19406-4201 | 2020-10-06 |
| 1063029049 | Kelly Barber | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4238 | 2020-09-24 |
| 1629684527 | Chelsea Faulkner | Behavior Technician | 583 Shoemaker Rd, King of Prussia, PA 19406-4201 | 2020-09-17 |
| 1104431089 | Tara Misher | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-09-09 |
| Find all providers in KING OF PRUSSIA | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
Please comment or provide details below to improve the information on MALLORY INSELBERG.
| 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.