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Genesis Holland

Behavior Technician in Greensboro, NC. Individual provider (NPI-1).

NPI number1235099862
StatusActive
Last updated in NPPESNov 15, 2025

Details

NPI
1235099862
Entity type
Individual (NPI-1)
Name
Genesis Holland
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 15, 2025
Certification date
Nov 15, 2025
Last updated
Nov 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

504 Park Ave
Greensboro, NC 27405-7786

Phone 919-407-1815

Mailing address

504 Park Ave
Greensboro, NC 27405-7786

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