Most Relevant Information
Provider Data
| NPI Number: | 1003534447 |
| Provider Name: | ALISHA N HOLLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2022 |
| Last Updated: | 08/22/2022 |
Provider Practice Location
763 BREWER ST
EAST HARTFORD
CT
061182375
Practice Location Phone/Fax
| Phone: | 8608791385 |
| Fax: |
Provider Mailing Location
763 BREWER ST
EAST HARTFORD
CT
061182375
Provider Mailing Phone/Fax
| Phone: | 8608791385 |
| Fax: |