Individual
MRS. CATHERINE MOLLENGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
368 MILES RD, ORANGE, CT 06477-3310
(203) 915-5870
(203) 915-5870
Mailing address
368 MILES RD, ORANGE, CT 06477-3310
(203) 915-5870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-13-13076
CT
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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