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NPI Code Detail

MEDICARE: MALLORY QUINN

MEDICARE: MALLORY QUINN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0-11-4343FL

General Provider Information

NPI Number : 1043568546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY QUINN
Provider Business Mailing Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 813-872-8521
Fax Number :
Provider Business Practice Location Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 813-872-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 12/01/2023

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1821593815 — JENNIFER R ALLEN LCSW
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Directions to “ MALLORY QUINN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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