Moulder, Alicia Marcella

Moulder, Alicia Marcella is an individual health care provider with primary practice located at 1251 Kempsville Rd , Norfolk VA 23502-2643. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Moulder, Alicia Marcella can be contacted via phone (757) 524-1593.

Contact Information

Primary practice address
1251 Kempsville Rd Norfolk VA 23502-2643
Phone: (757) 524-1593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1740958057
LBN Legal business name Moulder, Alicia Marcella
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740958057 NPPES
Virginia MEDICAID 601424504

Popular Providers