Provider Demographics
NPI:1578211454
Name:LOVE, MOLLY (BCBA)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:300 INTERNATIONAL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5028
Mailing Address - Country:US
Mailing Address - Phone:407-915-7729
Mailing Address - Fax:407-588-6294
Practice Address - Street 1:500 HEALTH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1558
Practice Address - Country:US
Practice Address - Phone:386-267-3161
Practice Address - Fax:386-236-1995
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2025-01-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst