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

Mrs. Mallory Holguin

Individual provider Behavior Technician · NPI 1205526076

Mrs. Mallory Holguin is a Behavior Technician in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

1801 SE Hillmoor Dr Ste B-101
Port Saint Lucie, FL 34952-7545
Phone: (772) 219-7575
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-23-273389 (FL)

Record details

NPI number1205526076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 13, 2023

Other providers in Port Saint Lucie