Individual
MARISSA HOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 BARRET BLVD STE A, HENDERSON, KY 42420-4931
(270) 827-4652
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47949
IN
106S00000X
Behavior Technician
RBT-17-35416
IN
Other
Enumeration date
08/08/2019
Last updated
11/10/2021
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