Provider Demographics
NPI:1205627874
Name:VORIS, MOLLY ALLISON (RBT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:ALLISON
Last Name:VORIS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 GRIZZLY CUB DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-1364
Mailing Address - Country:US
Mailing Address - Phone:317-346-8900
Mailing Address - Fax:
Practice Address - Street 1:700 EAST 700 IN-44
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IA
Practice Address - Zip Code:46131
Practice Address - Country:US
Practice Address - Phone:317-614-5099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-24-331346106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician