Individual
MOLLY ELIZABETH ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1700 NW 167TH PL STE 240, BEAVERTON, OR 97006-4872
(855) 423-4629
Mailing address
11037 WARNER AVE, #339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16890
OR
Other
Enumeration date
03/23/2015
Last updated
11/13/2023
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