Individual
MOLLY MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4126 S 7TH ST, TERRE HAUTE, IN 47802-4123
(812) 645-2308
Mailing address
602 APEX DR APT 101, PLAINFIELD, IN 46168-5630
(630) 947-9807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29733
IN
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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