Individual
MOLLY GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14675 MIDWAY RD, ADDISON, TX 75001-3170
(903) 630-7077
Mailing address
120 E SOUTH TOWN DR, TYLER, TX 75703-4747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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