Skip to content

Mallory Engelhardt

NPI 1467088005ActiveIndividual· Behavior Analyst· Fond Du Lac, WI

Behavior Analyst in Fond Du Lac, Wisconsin, licensed in WI, with an NPI issued in March 2020.

Overview

NPI1467088005
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 16, 2020
Last updated in NPPESDec 15, 2020
Certified by providerDec 15, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Analyst Primary103K00000X12041110WI
Behavior Analyst103K00000X1-20-4110—

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Behavior Analyst providers in Fond Du Lac

All Behavior Analyst providers in Wisconsin →