Individual
ASHLEY MICHELLE HOLLWAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 AVIS DR, SAN JOSE, CA 95126-4002
(916) 704-4288
Mailing address
1191 AVIS DR, SAN JOSE, CA 95126-4002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10286397
KAISER
—
Enumeration date
07/02/2019
Last updated
07/02/2019
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