Individual
AUTUMN SIERRA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
711 BELMONT AVE, YOUNGSTOWN, OH 44502-1039
(330) 793-2487
(330) 743-5748
Mailing address
711 BELMONT AVE, YOUNGSTOWN, OH 44502-1039
(330) 793-2487
(330) 743-5748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2002723-TRNE
OH
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/19/2018
Last updated
09/30/2020
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