Individual
KAYLA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 E OVERLAND RD, MERIDIAN, ID 83642-6711
(888) 392-8642
Mailing address
16645 FRISCO AVE, CALDWELL, ID 83607-5223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-431389
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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