Individual
MS. MOLLY GRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BFA, RBT
Contact information
Practice address
88 WALDRON AVE, NYACK, NY 10960-3407
(845) 323-0853
Mailing address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 590-7575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-244569
NY
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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