Fandal, Mallory Anne

Fandal, Mallory Anne is an sole proprietor health care provider with primary practice located at 3999 Highway 190 East Service Rd , Covington LA 70433-4914. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fandal, Mallory Anne can be contacted via phone (985) 871-0689.

Contact Information

Primary practice address
3999 Highway 190 East Service Rd Covington LA 70433-4914
Phone: (985) 871-0689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X C015 Louisiana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X L-271 Louisiana

Profile Details

NPI number 1851800221
LBN Legal business name Fandal, Mallory Anne
Credentials MA PBA, BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers