Individual
BETHANY S HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
540 3RD ST SE, CRESCO, IA 52136-2030
(563) 203-2327
Mailing address
540 3RD ST SE, CRESCO, IA 52136-2030
(563) 203-2327
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52419
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/07/2019
Last updated
07/23/2023
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