Individual
MRS. HOLLY ELIZABETH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., B.C.B.A.
Contact information
Practice address
41883 PRECIOUS SQ, ALDIE, VA 20105-3435
(757) 575-6060
Mailing address
41883 PRECIOUS SQ, ALDIE, VA 20105-3435
(757) 575-6060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9582
VA
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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