Individual
MOLLY E CAMPBELL KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, BCBA-D, LBA
Contact information
Practice address
106 WILBURN LN, DECATUR, GA 30030-2373
(901) 264-7542
Mailing address
106 WILBURN LN, DECATUR, GA 30030-2373
(901) 264-7542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-39545
BCBA CERTIFICATE
GA
Enumeration date
02/25/2020
Last updated
12/16/2024
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