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

Mallory Nicole Carroll

Individual provider Behavior Technician · NPI 1063006609

Mallory Nicole Carroll is a Behavior Technician in Hermosa Beach, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1601 Pacific Coast Hwy Ste 175
Hermosa Beach, CA 90254-3270
Phone: (213) 320-7037
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 number1063006609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

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