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

Mallorae Elizabeth Theobald

Individual provider Behavior Analyst · NPI 1205292422

Mallorae Elizabeth Theobald is a Behavior Analyst in Northville, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

43334 7 Mile Rd
Northville, MI 48167-2249
Phone: (517) 898-4868
Show map & directions

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

Additional practice locations (1)

  • 2400 Science Pkwy, Okemos, MI 48864-5506 — (517) 374-8066

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Analyst Taxonomy 103K00000X · Licence 7401000261 (MI)

Record details

NPI number1205292422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESSeptember 19, 2019

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