Most Relevant Information
Provider Data
| NPI Number: | 1003498262 |
| Provider Name: | HOLLY TERRY RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-154537 |
Most Important Dates
| Enumeration Date: | 04/26/2021 |
| Last Updated: | 04/26/2021 |
Provider Practice Location
7771 ASHTON AVE
MANASSAS
VA
201092879
Practice Location Phone/Fax
| Phone: | 7034922686 |
| Fax: |
Provider Mailing Location
9229 SPERRYVILLE PIKE
CULPEPER
VA
227015677
Provider Mailing Phone/Fax
| Phone: | 7034702959 |
| Fax: |