Individual
MEGAN MOLINARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Mailing address
7607 28TH AVE, KENOSHA, WI 53143-5664
(262) 287-6660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161469
WI
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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