Healthcare Provider Details

I. General information

NPI: 1346818093
Provider Name (Legal Business Name): ASHLEY MARGARET MOLLMAN BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4907 CHURCH RD
BOWIE MD
20720-4910
US

IV. Provider business mailing address

4907 CHURCH RD
BOWIE MD
20720-4910
US

V. Phone/Fax

Practice location:
  • Phone: 540-604-4003
  • Fax:
Mailing address:
  • Phone: 540-604-4003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133002142
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: