Individual
ANDREA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5180 W ATLANTIC AVE STE 114, DELRAY BEACH, FL 33484-8103
(561) 674-9996
Mailing address
5180 W ATLANTIC AVE STE 112, DELRAY BEACH, FL 33484-8103
(561) 674-9996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12154896
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
05/03/2017
Last updated
11/01/2021
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