Roy L Mallard, RBT Valid NPI
Individual provider · Behavior Technician · Tavares, FL
- NPI
- 1700595485
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-20-12464 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-11-21
- Last updated
- 2022-11-21
Practice location
1969 Golden Palm Cir
Tavares, FL 32778-4334
(407) 383-4855