Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1093395048 |
---|---|
Provider Name | Faith Robison Holley |
First Address | Anderson, SC 29625-2709 |
Second Address | Pendleton, SC 29670-1613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2021 |
Last Update Date | 13/04/2021 |