Individual
PETE SCOTT MOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA
Contact information
Practice address
2222 TETON PLZ STE 2, IDAHO FALLS, ID 83404-6485
(208) 522-4026
Mailing address
2222 TETON PLZ STE 2, IDAHO FALLS, ID 83404-6485
(208) 522-4026
(208) 522-4138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23855
ID
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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