Provider Demographics
NPI:1962062588
Name:MALLORY Q. STINGER
Entity type:Organization
Organization Name:MALLORY Q. STINGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:QUINN
Authorized Official - Last Name:STINGER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:406-249-6412
Mailing Address - Street 1:2950 ASPENWAY DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-6601
Mailing Address - Country:US
Mailing Address - Phone:855-249-2776
Mailing Address - Fax:
Practice Address - Street 1:10817 206TH ST E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-8841
Practice Address - Country:US
Practice Address - Phone:406-249-6412
Practice Address - Fax:855-249-2776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty