DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COURTNEY ALYCE MALLOY MA, BCBA, LBA

MEDICARE: COURTNEY ALYCE MALLOY MA, BCBA, LBA
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 Analyst1-22-57913AL
2106S00000XBehavior Technician
3103K00000XBehavior Analyst2022-018AL

General Provider Information

NPI Number : 1487275533
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY ALYCE MALLOY MA, BCBA, LBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 2244 NORTH RD STE 116
Second Line :
City : GARDENDALE
State : AL
Zip : 35071-2258
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2020
Last Update Date : 07/18/2022

Similar Medicare Providers

1952022378 — D'MAR WILCHER
Practice Location Address:
2244 NORTH RD STE 116
GARDENDALE, AL
35071-2258
Practice Phone: 659-207-6622
Practice Fax:
1467773671 — DR. BENJAMIN ROBERT BROOME M.D.
Practice Location Address:
2244 NORTH RD STE 108
GARDENDALE, AL
35071-2258
Practice Phone: 205-226-5900
Practice Fax: 205-226-5937
1033766621 — JOSHUA BYRD RBT
Practice Location Address:
2244 NORTH RD STE 116
GARDENDALE, AL
35071-2258
Practice Phone: 855-324-0885
Practice Fax:
1003574559 — MS. ELIZABETH HOPE TEDESCUCCI
Practice Location Address:
2244 NORTH RD STE 116
GARDENDALE, AL
35071-2258
Practice Phone: 833-825-5246
Practice Fax:
1376295469 — HOPEBRIDGE LLC
Practice Location Address:
2244 NORTH RD STE 116
GARDENDALE, AL
35071-2258
Practice Phone: 855-324-0885
Practice Fax:
1871247163 — MAKENZI BARTLETT
Practice Location Address:
2244 NORTH RD STE 116
GARDENDALE, AL
35071-2258
Practice Phone: 833-825-5246
Practice Fax:

Directions to “ COURTNEY ALYCE MALLOY MA, BCBA, LBA” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.