Individual
MRS. HOLLY ANNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
4606 WARDS CHAPEL RD, OWINGS MILLS, MD 21117-4614
(410) 818-8942
Mailing address
4606 WARDS CHAPEL RD, OWINGS MILLS, MD 21117-4614
(410) 818-8942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12375
MD
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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