Tamera Holley
Behavior Technician in West Hartford, CT. Individual provider (NPI-1).
NPI number1124875489
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1124875489
- Entity type
- Individual (NPI-1)
- Name
- Tamera Holley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2024
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Tamra Holley (Former Name)
Practice location
345 N Main StWest Hartford, CT 06117
Phone 203-816-0091
Mailing address
345 N Main St Suite 260West Hartford, CT 06117
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