Individual
JACQUELINE RAE MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9400 S CICERO AVE, OAK LAWN, IL 60453-2536
(773) 644-7787
(224) 241-3132
Mailing address
2127 W MADISON ST APT 301, CHICAGO, IL 60612-5626
(872) 333-8339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22785
IL
103K00000X
Behavior Analyst
Primary
1-16-22785
TX
Other
Enumeration date
06/27/2016
Last updated
04/03/2026
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