Organization
MOLI PEDIATRIC THERAPY, LLC
Active
Other names
Moli Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JACKSON LIPPOLDT M.A. (FOUNDER & CEO)
(757) 301-2411
Entity
Organization
Contact information
Practice address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 301-2411
(888) 966-0621
Mailing address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 803-5663
(888) 966-0621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
10/07/2022
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