Tamara Hollon
Behavior Technician in Portage, MI. Individual provider (NPI-1).
NPI number1982114450
StatusActive
Last updated in NPPESOct 10, 2017
Details
- NPI
- 1982114450
- Entity type
- Individual (NPI-1)
- Name
- Tamara Hollon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2017
- Last updated
- Oct 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1617 E Milham Ave Ste BPortage, MI 49002-3049
Phone 269-389-9102
Mailing address
1617 E Milham Ave Ste BPortage, MI 49002-3049
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