Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Molly Marie Theodore

Individual provider Behavior Technician · NPI 1154928422

Molly Marie Theodore is a Behavior Technician in Corvallis, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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Practice location Address checks out

4185 SW Research Way
Corvallis, OR 97333-1783
Phone: (541) 766-6767
Fax: (541) 766-6186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1154928422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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