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

Mallory Bopp

Individual provider Behavior Technician · NPI 1427799592

Mallory Bopp is a Behavior Technician in Springfield, Illinois. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

3921 Pintail Dr
Springfield, IL 62711-6738
Phone: (217) 553-8243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 7720-33-5709 (IN)

Record details

NPI number1427799592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022
Mailing address3921 Pintail Dr, Springfield, IL 62711-6738

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