Individual
MARY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER'S
Contact information
Practice address
7755 OFFICE PLAZA DR N STE 105, WEST DES MOINES, IA 50266-2339
(515) 505-7283
Mailing address
4506 NW 164TH ST, CLIVE, IA 50325-2534
(515) 223-3059
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/12/2020
Last updated
02/14/2023
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