Individual
ASHANTI HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 E ROGER RD, APT. G71, TUCSON, AZ 85719-1201
(484) 632-1630
Mailing address
2000 E ROGER RD, APT. G71, TUCSON, AZ 85719-1201
(484) 632-1630
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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