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NPI Code Detail

MEDICARE: MALLORY AMES

MEDICARE: MALLORY AMES
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 Analyst1-26-88297CT

General Provider Information

NPI Number : 1316895261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY AMES
Provider Business Mailing Address
First Line : 24 STONY HILL RD LOWR LEVEL
Second Line :
City : BETHEL
State : CT
Zip : 06801-1166
Country : US
Telephone Number : 860-946-0362
Fax Number :
Provider Business Practice Location Address
First Line : 24 STONY HILL RD LOWR LEVEL
Second Line :
City : BETHEL
State : CT
Zip : 06801-1166
Country : US
Telephone Number : 860-946-0362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MALLORY AMES ” Practice Location

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