Johnny Lee Molina

NPI #1992599989 in Ithaca, Michigan

Provider Information

NPI Number: 1992599989
Entity Type: Individual
Name: Johnny Lee Molina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2025
Last Updated: Jun 14, 2025

Practice Location

Address: 216 N UNION ST APT 4
City: Ithaca
State: Michigan
ZIP Code: 48847-1352
Phone: (989) 436-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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