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

Mallory Federick

Individual provider Behavior Technician · NPI 1992535751

Mallory Federick is a Behavior Technician in Newburgh, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

4655 Rosebud Ln
Newburgh, IN 47630-9366
Phone: (812) 213-8031
Fax: (317) 520-8200
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-362822 (IN)

Record details

NPI number1992535751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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