Individual
MRS. MARY MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LBS
Contact information
Practice address
2420 JEANNETTE LN, EASTON, PA 18040-5815
(917) 439-9324
Mailing address
2420 JEANNETTE LN, EASTON, PA 18040-5815
(917) 439-9324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008417
PA
174400000X
Specialist
Primary
765561131
NY
Other
Enumeration date
08/29/2013
Last updated
04/19/2026
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