| Moli Pediatric Therapy, Llc | |
|
2008 General Booth Blvd Ste B Virginia Beach VA 23454-5910 | |
| (757) 301-2411 | |
| (888) 966-0621 |
| Full Name | Moli Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2008 General Booth Blvd Ste B, Virginia Beach, Virginia |
| Authorized Official Name and Position | Danielle Jackson Lippoldt (FOUNDER & CEO) |
| Authorized Official Contact | 7573012411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moli Pediatric Therapy, Llc 2008 General Booth Blvd Ste B Virginia Beach VA 23454-5910 Ph: (757) 803-5663 | Moli Pediatric Therapy, Llc 2008 General Booth Blvd Ste B Virginia Beach VA 23454-5910 Ph: (757) 301-2411 |
| NPI Number | 1053881904 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053881904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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