NPI 1134764772 · live from the CMS NPI Registry
Bethany S Holland, MS, BCBA
Behavior Analyst in Cresco, IA. National Provider Identifier 1134764772, active.
NPI record
| NPI | 1134764772 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 540 3rd St Se, Cresco, IA 52136 |
| Practice phone | 563-203-2327 |
| Enumerated | November 7, 2019 |
| Last updated | July 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | — |
| Behavior Analyst primary | 103K00000X | 1-21-52419 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.