Healthcare Provider Details

I. General information

NPI: 1104736206
Provider Name (Legal Business Name): AMBER MALONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 CALEF HWY
BARRINGTON NH
03825-7241
US

IV. Provider business mailing address

1037 CALEF HWY
BARRINGTON NH
03825-7241
US

V. Phone/Fax

Practice location:
  • Phone: 603-731-0532
  • Fax:
Mailing address:
  • Phone: 603-731-0532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-236536
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: