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

Mallory Kathryn Moore

Individual provider Behavior Technician · NPI 1164125340

Mallory Kathryn Moore is a Behavior Technician in Livonia, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

14680 Newburgh Rd
Livonia, MI 48154-5034
Phone: (844) 969-0252
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1164125340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

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