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

MS. Mallory Shirazi, BCBA

Individual provider Behavior Technician · NPI 1649766619

MS. Mallory Shirazi, BCBA is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2667 Camino Del Rio S Ste 102
San Diego, CA 92108-3763
Phone: (619) 782-0700
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-58477 (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1649766619
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

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