Mallory Shortway
Mallory Shortway is a Behavior Technician in Largo, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
12505 Starkey Rd Ste KLargo, FL 33773-2617
Phone: (727) 280-6643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1134846025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2022 |
| Last updated in NPPES | October 21, 2022 |
| Certification date | October 21, 2022 |
| Mailing address | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 |
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