Individual
MS. HOLLY WELLS WILLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BCAT, RBT
Contact information
Practice address
2121 S BLACKHAWK ST STE 100, AURORA, CO 80014-1488
(720) 545-0768
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-19496
CO
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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