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NPI Code Detail

MEDICARE: MOLLY MCGEE OLORUNFEMI MS, BCBA, LBA, COBA

MEDICARE: MOLLY MCGEE OLORUNFEMI MS, BCBA, LBA, COBA
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
1103K00000XBehavior AnalystCOBA.00445OH
2103K00000XBehavior Analyst243519KY

General Provider Information

NPI Number : 1730669367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY MCGEE OLORUNFEMI MS, BCBA, LBA, COBA
Provider Business Mailing Address
First Line : 2654 TURKEYFOOT RD
Second Line :
City : LAKESIDE PARK
State : KY
Zip : 41017-2553
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5522 TAYLOR MILL RD
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-4604
Country : US
Telephone Number : 859-818-2112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 01/29/2025

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