Mallory L Black
Mallory L Black is a Behavior Technician in Poquoson, Virginia. Licensed in Virginia. Registered with an NPI since 2025.
- Licensed in
- VA
- In the registry since
- 2025
Practice location Address checks out
241 Darden DrPoquoson, VA 23662-1215
Phone: (757) 356-2242
Fax: (276) 242-5657
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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 RBT-25-427589 (VA) |
|---|
Record details
| NPI number | 1578359212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 18, 2025 |
| Last updated in NPPES | April 18, 2025 |
| Certification date | April 18, 2025 |
| Mailing address | 22 Belles Cove Dr Apt F, Poquoson, VA 23662-1558 |
Other providers in Poquoson
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Apryl M Deaton
241 Darden Dr, Poquoson, VA 23662-1215 · (757) 356-2242
-
Aubree Rene Dorsey
241 Darden Dr, Poquoson, VA 23662-1215 · (757) 356-2242
-
Bobbie Layne Holloway
12 Rivergate Dr, Poquoson, VA 23662-1312 · (757) 876-8616
-
Imani Janea Parker
241 Darden Dr, Poquoson, VA 23662-1215 · (757) 356-2242