Mckenna Malloy

NPI #1154200400 in Idaho Falls, Idaho

Provider Information

NPI Number: 1154200400
Entity Type: Individual
Name: Mckenna Malloy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 30, 2025
Last Updated: Sep 15, 2025

Practice Location

Address: 1820 E 17TH ST STE 330
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6400
Phone: (208) 219-8336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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