Individual
JENNIFER CRISTIN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7600 LEESBURG PIKE, 410, FALLS CHURCH, VA 22043-2004
(703) 506-1930
Mailing address
7600 LEESBURG PIKE, 410, FALLS CHURCH, VA 22043-2004
(703) 506-1930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133000018
BCBA VA LICENSE
VA
01
—
1-06-3019
BCBA
—
Enumeration date
02/21/2014
Last updated
02/21/2014
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