Individual
MEAGAN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2621 BICKFORD AVE STE C, SNOHOMISH, WA 98290-1736
(360) 217-8168
Mailing address
7111 55TH PL NE, MARYSVILLE, WA 98270-8936
(206) 412-6581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60581951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106E00000X
—
WA
Enumeration date
07/01/2015
Last updated
03/29/2022
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