Individual
KATIE MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2101 COMEFORD RD, VALPARAISO, IN 46383-8385
(219) 462-6705
(219) 464-4318
Mailing address
15756 STEVENSON PL, LOWELL, IN 46356-1037
(219) 741-1851
(219) 464-4318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32946
IN
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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