Rakow, Mallory

Rakow, Mallory is an individual health care provider with primary practice located at 3855 Centerview Dr Ste 400B , Chantilly VA 20151-3285. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Rakow, Mallory can be contacted via phone (571) 554-5730.

Contact Information

Primary practice address
3855 Centerview Dr Ste 400B Chantilly VA 20151-3285
Phone: (571) 554-5730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1023518669
LBN Legal business name Rakow, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2018
Last updated Sep 7th, 2023 - about last year

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.

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