Individual
HOLLY EASTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
31 DANIEL DR STE 101, CROSSVILLE, TN 38555-6031
(931) 287-3710
(931) 287-2778
Mailing address
31 DANIEL DR STE 101, CROSSVILLE, TN 38555-6031
(931) 287-3710
(931) 287-2778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41724
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
Enumeration date
03/16/2020
Last updated
03/16/2020
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