Individual
TENIA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 HENDERSON ST., F12, RUSTON, LA 71270
(203) 361-2554
Mailing address
1155 CLEMSON FRONTAGE RD APT 206, COLUMBIA, SC 29229-8233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-403372
SC
Other
Enumeration date
11/05/2018
Last updated
01/17/2025
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