Individual
HOLLY LYN PROCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(862) 377-9525
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(862) 377-9525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-12854
BCBA
FL
Enumeration date
06/02/2014
Last updated
05/04/2026
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