Individual
HOLLY BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-4999
(704) 824-3999
Mailing address
218 ALAMOSA PL, CARY, NC 27519-7320
(603) 727-8852
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6601
NC
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-09-6601
CERTIFICATE NUMBER
NC
Enumeration date
08/12/2016
Last updated
05/12/2021
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