Justin Holdefer
Behavior Technician in Columbia, MD. Individual provider (NPI-1).
NPI number1982244638
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1982244638
- Entity type
- Individual (NPI-1)
- Name
- Justin Holdefer
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2020
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12249 Bare Bush PathColumbia, MD 21044-3798
Phone 207-671-4545
Mailing address
12249 Bare Bush PathColumbia, MD 21044-3798
Phone 207-671-4545
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