Individual
ALLISON HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
139 BARKER AVE, OREGON CITY, OR 97045-3421
(530) 513-0462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34235
—
103K00000X
Behavior Analyst
B-10196524
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B-10196524
OREGON HLO-LBA
OR
Enumeration date
12/13/2016
Last updated
04/14/2021
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