Provider Demographics
NPI:1700023058
Name:ALLINDER, MOLLY CRAIG (MSW, BCBA)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:CRAIG
Last Name:ALLINDER
Suffix:
Gender:F
Credentials:MSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 UNIVERSITY AVE
Mailing Address - Street 2:STE. 201
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6520
Mailing Address - Country:US
Mailing Address - Phone:916-448-2050
Mailing Address - Fax:
Practice Address - Street 1:425 UNIVERSITY AVE
Practice Address - Street 2:STE. 201
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6520
Practice Address - Country:US
Practice Address - Phone:916-448-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-10140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst