Individual
MS. MOLLY E BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
280 CROSSWAYS PARK DR, WOODBURY, NY 11797-2015
(516) 938-1784
Mailing address
3019 NEWPORT AVE, MEDFORD, NY 11763-1847
(516) 780-1493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003202-01
NY
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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