Individual
KEVIN MOLONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
79 ESTATE PETERS REST, CHRISTIANSTED, VI 00820-0082
(781) 820-9489
Mailing address
PO BOX 25627, CHRISTIANSTED, VI 00824-1627
(781) 820-9489
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12044062
BACB IDENTIFICATION NUMBER
—
Enumeration date
12/03/2020
Last updated
12/03/2020
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