Individual
ADAM MOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9355 E STOCKTON BLVD STE 100, ELK GROVE, CA 95624-9476
(916) 683-1109
Mailing address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2017
Last updated
07/08/2020
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