Individual
MR. MICHAEL JAMES MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
200 MYLES STANDISH BLVD STE 2, TAUNTON, MA 02780-7371
(877) 219-9391
Mailing address
9 OLD HIGHWAY 63 S APT 17, COLUMBIA, MO 65201-6087
(774) 571-3294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66707
MA
Other
Enumeration date
08/10/2021
Last updated
07/12/2023
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