Most Relevant Information
Provider Data
| NPI Number: | 1003380809 |
| Provider Name: | HOLLY WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2019 |
| Last Updated: | 01/15/2019 |
Provider Practice Location
2521 N ELMS RD
FLUSHING
MI
484339423
Practice Location Phone/Fax
| Phone: | 8104875521 |
| Fax: |
Provider Mailing Location
2521 N ELMS RD
FLUSHING
MI
484339423
Provider Mailing Phone/Fax
| Phone: | 8104875521 |
| Fax: |