Individual
LISA HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
(317) 918-2689
(317) 973-0196
Mailing address
7425 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31146
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-1168048
—
IN
Enumeration date
10/31/2018
Last updated
12/20/2024
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