Holly Molino BCBA

NPI 1306260633 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1306260633
Gender Female
Enumeration Date 02/06/2014
Last Updated 02/06/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2222 TETON PLZ
SUITE 2
IDAHO FALLS ID, 83404-6485, US
Phone (208) 522-4026
Fax
Business Location
422 NAPA DR
IDAHO FALLS ID, 83404-7681, US
Phone (208) 705-6758
Fax
Toxanomy
Taxonomy Code 103K00000X
License State Idaho
License Number 1-07-3437
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According to our database, Holly Molino BCBA NPI is 1306260633, taxonomy code is 103K00000X and license number is 1-07-3437, license state is located at Idaho. Holly Molino BCBA physically located at 2222 Teton Plz, Idaho Falls ID, 83404-6485. NPI Number Holly Molino BCBA has the Individual type.

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1306260633 NPI number is provided on an as is basis without warranty of any kind. 1306260633 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Molino BCBA are for informational purposes only.