Healthcare Provider Details

I. General information

NPI: 1124823810
Provider Name (Legal Business Name): MOLLY MARGARET MCLARNON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 N GILBERT RD STE 204
GILBERT AZ
85234-4698
US

IV. Provider business mailing address

2314 S VAL VISTA DR STE 201
GILBERT AZ
85295-5594
US

V. Phone/Fax

Practice location:
  • Phone: 602-726-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-001965
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: