Moldovan, Mary Abigail

Moldovan, Mary Abigail is an individual health care provider with primary practice located at 6657 Frank Ave Nw Ste 100 , North Canton OH 44720-8438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Moldovan, Mary Abigail can be contacted via phone (330) 309-3133.

Contact Information

Primary practice address
6657 Frank Ave Nw Ste 100 North Canton OH 44720-8438
Phone: (330) 309-3133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.00646 Ohio
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133002014 Virginia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-39896 Ohio

Profile Details

NPI number 1912422098
LBN Legal business name Moldovan, Mary Abigail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated Sep 9th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912422098 NPPES
Virginia Other 0133002014 VIRGINIA BOARD OF MEDICINE
Virginia Other 1-19-39896 VIRGINIA BOARD OF MEDICINE
Virginia Other COBA.00646 VIRGINIA BOARD OF MEDICINE

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