Individual
MRS. MICHAELA HOLLY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
215 N 35TH ST STE 1, MOREHEAD CITY, NC 28557-3186
(252) 207-0545
Mailing address
215 N 35TH ST STE 1, MOREHEAD CITY, NC 28557-3186
(252) 207-0545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BACB360931
NC
103T00000X
Psychologist
Primary
5865
NC
247200000X
Other Technician
—
—
Other
Enumeration date
08/19/2015
Last updated
12/16/2021
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