Individual
MORIAH ELISE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19909 BALLINGER WAY NE, SHORELINE, WA 98155-1257
(206) 717-4770
Mailing address
21929 234TH AVE SE, MAPLE VALLEY, WA 98038-8424
(708) 738-7539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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