Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Lilyann Mallory

Individual provider Behavior Technician · NPI 1821777582

Carmen Lilyann Mallory is a Behavior Technician in Kenai, Alaska. Licensed in Alaska. Registered with an NPI since 2023.

Licensed in
AK
In the registry since
2023
Specialties on file
2

Practice location Address checks out

508 Upland St
Kenai, AK 99611-8026
Phone: (907) 335-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (AK)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1821777582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing addressPo Box 988, Kenai, AK 99611-0988

Other providers in Kenai