Most Relevant Information
Provider Data
| NPI Number: | 1003651001 |
| Provider Name: | MYA HOVLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-357321 |
Most Important Dates
| Enumeration Date: | 07/01/2024 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
2475 W CHICAGO ST
RAPID CITY
SD
577022467
Practice Location Phone/Fax
| Phone: | 6052065004 |
| Fax: |
Provider Mailing Location
2475 W CHICAGO ST
RAPID CITY
SD
577022467
Provider Mailing Phone/Fax
| Phone: | 6052065004 |
| Fax: |