Individual
ELLIOT HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
8811 S TACOMA WAY UNIT 204206, LAKEWOOD, WA 98499-4595
(253) 321-1955
Mailing address
12768 S SNOW FLOWER CT, RIVERTON, UT 84096-7441
(602) 621-9628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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