Most Relevant Information
Provider Data
| NPI Number: | 1003208208 |
| Provider Name: | MOLLY CEVASCO PH.D., BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC2200X |
| Specialty: | Psychologist |
| License Number: | PY60876051 |
Most Important Dates
| Enumeration Date: | 02/24/2015 |
| Last Updated: | 09/24/2018 |
Provider Practice Location
4650 W SUNSET BLVD
MS #53
LOS ANGELES
CA
900276062
Practice Location Phone/Fax
| Phone: | 3233613849 |
| Fax: |
Provider Mailing Location
4650 W SUNSET BLVD
MS #53
LOS ANGELES
CA
900276062
Provider Mailing Phone/Fax
| Phone: | 3233613849 |
| Fax: |