Provider Demographics
NPI:1548731987
Name:ROLOTTI, MARY CHRISTINE SEARLS (MED, BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CHRISTINE SEARLS
Last Name:ROLOTTI
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CHRISTINE
Other - Last Name:SEARLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2308 SHOREHAM DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-2642
Mailing Address - Country:US
Mailing Address - Phone:804-836-6156
Mailing Address - Fax:
Practice Address - Street 1:2308 SHOREHAM DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-2642
Practice Address - Country:US
Practice Address - Phone:804-836-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001714103K00000X
VA0134000224103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst