Individual
CARL MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16110 NW 37TH AVE, MIAMI GARDENS, FL 33054-6304
(786) 508-6750
Mailing address
367 E 4TH AVE APT 5, HIALEAH, FL 33010-4853
(786) 508-6750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
09/28/2018
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