Molly Lorraine Dubuque, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA# 1-08-4313 Issued in NU

Practice address

632 Eastern Blvd
Clarksville, IN 47129

Phone

(317) 249-2242

Fax

(317) 663-1175

NPI assigned

Jul 1, 2009

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Child Behavior Solutions, LLC

  • Early Intervention Provider Agency
  • Reno, NV
  • NPI 1659509636
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1861620551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292463",
            "telephone_number": "317-249-2242",
            "fax_number": "317-663-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "47129",
            "telephone_number": "317-249-2242",
            "fax_number": "317-663-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Eastern Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "47129",
            "country_code": "US",
            "telephone_number": "317-249-2242",
            "fax_number": "317-663-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBUQUE",
        "first_name": "MOLLY",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "BCBA# 1-08-4313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Sue Doan, MSSW, LCSW
• Abigail Regan Donaway, CF-SLP
• Dr Mark Lynn & Associates PLLC (Visionworks Doctors of Optometry)
• Dr. Mark Lynn & Associates, PLLC (Visionworks Doctors of Optometry)
• Dr. Polly Hendricks
• Darra Dukes, NP-C
• Erin Elizabeth Dunaway, DMD
• Edema Solutions LLC
• Blake Ehret
• Payton Eihusen

• Behavior Analyst in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.