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NPI Code Detail

MEDICARE: MOLLY R BAATZ BCBA

MEDICARE: MOLLY R BAATZ BCBA
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 Analyst1-21-56687FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891317962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY R BAATZ BCBA
Provider Business Mailing Address
First Line : 10877 OVERSEAS HWY APT 11
Second Line :
City : MARATHON
State : FL
Zip : 33050-3432
Country : US
Telephone Number : 614-361-2013
Fax Number :
Provider Business Practice Location Address
First Line : 2329 E WT HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5186
Country : US
Telephone Number : 704-529-9090
Fax Number : 704-529-9009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 04/23/2026

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