Individual
HOLLY CHRISTINA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 SETTLE ST APT C, CINCINNATI, OH 45227-3038
(937) 694-3920
Mailing address
4132 SETTLE ST APT C, CINCINNATI, OH 45227-3038
(937) 694-3920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
UNDER 26 YEARS OLD
OH
Enumeration date
04/29/2021
Last updated
04/29/2021
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