Park, Holly

Park, Holly is an sole proprietor health care provider with primary practice located at 410 Arden Ave Ste 204 , Glendale CA 91203-4041. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Park, Holly can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
410 Arden Ave Ste 204 Glendale CA 91203-4041
Phone: (818) 241-6780
Fax: (818) 541-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8225 California

Profile Details

NPI number 1710243456
LBN Legal business name Park, Holly
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2012
Last updated Apr 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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