Provider Demographics
NPI:1740962737
Name:FISCHER, MOLLY ALEEN (BCBA)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ALEEN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 ADOBE RUN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4771
Mailing Address - Country:US
Mailing Address - Phone:719-331-1017
Mailing Address - Fax:
Practice Address - Street 1:7689 N LOOP 1604 E
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-2968
Practice Address - Country:US
Practice Address - Phone:210-964-5659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-55845103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst