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Individual

MRS. MOLLY ELIZABETH WALEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
13588 CONESTOGA LOOP, PIEDMONT, SD 57769-5065
(719) 331-0907
Mailing address
13588 CONESTOGA LOOP, PIEDMONT, SD 57769-5065
(719) 331-0907

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-53
SD
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/21/2018
Last updated
07/20/2026
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