MEDICARE: ESTHER MOLINA BS, BCABA, RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	0-21-12430

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0-21-12430	OTHER		BACB

General Provider Information

NPI Number	:	1508313883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER MOLINA BS, BCABA, RBT

Provider Business Mailing Address
First Line	:	2219 DENVER ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3335
Country	:	US
Telephone Number	:	619-717-7066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2219 DENVER ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3335
Country	:	US
Telephone Number	:	619-717-7066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2016
Last Update Date	:	09/21/2023

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