Individual
NIKKI ROSE HOLWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1604 SPRING HILL RD, SUITE 310, VIENNA, VA 22182-7510
(703) 546-8594
Mailing address
5290 DUKE ST, APT. 218, ALEXANDRIA, VA 22304-2933
(724) 787-9077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PRSE-0002134
VA
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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