Most Relevant Information
Provider Data
| NPI Number: | 1003478025 |
| Provider Name: | MALLORY VERONICA BAUER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2019 |
| Last Updated: | 06/29/2019 |
Provider Practice Location
462 HEGEMAN AVE
COLCHESTER
VT
054463187
Practice Location Phone/Fax
| Phone: | 8183452345 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST
WOODLAND HILLS
CA
913674976
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |