Provider Demographics
NPI:1780579409
Name:MOLINA, CAMILA ARLETH
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:ARLETH
Last Name:MOLINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAMILA
Other - Middle Name:ARLETH
Other - Last Name:MOLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:SEELEY
Mailing Address - State:CA
Mailing Address - Zip Code:92273-0319
Mailing Address - Country:US
Mailing Address - Phone:442-456-8722
Mailing Address - Fax:442-456-8722
Practice Address - Street 1:PO BOX 319
Practice Address - Street 2:
Practice Address - City:SEELEY
Practice Address - State:CA
Practice Address - Zip Code:92273-0319
Practice Address - Country:US
Practice Address - Phone:442-456-8722
Practice Address - Fax:442-456-8722
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst