Individual
JESSICA LYNNE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
7200 E DRY CREEK RD, CENTENNIAL, CO 80112-2537
(866) 300-0822
Mailing address
2662 S CATHAY WAY UNIT 202, AURORA, CO 80013-6003
(303) 718-7930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56820
CO
106S00000X
Behavior Technician
072391263
CO
Other
Enumeration date
12/30/2017
Last updated
01/14/2022
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