Provider Demographics
NPI:1649517780
Name:MCCAFFREY, MOLLIE (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:MOLLIE
Middle Name:
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 AVERY RANCH BLVD.
Mailing Address - Street 2:#1612
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-1312
Mailing Address - Country:US
Mailing Address - Phone:512-550-3120
Mailing Address - Fax:
Practice Address - Street 1:12600 AVERY RANCH BLVD.
Practice Address - Street 2:# 1612
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-1312
Practice Address - Country:US
Practice Address - Phone:512-550-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst