Individual
TEAGAN MOLINETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BYRON AVE, ALTOONA, PA 16602-4106
(814) 201-2773
Mailing address
120 BYRON AVE, ALTOONA, PA 16602-4106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007193
PA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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