Individual
HOLLI ELIZABETH PERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
203 N 5TH ST, GOSHEN, IN 46528
(267) 980-9785
Mailing address
66208 GRASSLANDS LN, GOSHEN, IN 46526-7323
(267) 980-9785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19283
BCBA CERTIFICATE
—
Enumeration date
02/11/2015
Last updated
08/23/2022
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