Holly A Colosky
Individual provider Active NPI Behavior Technician · Mayville, MI
NPI 1033633995 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1033633995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6148 Lincoln St.
PO Box 675
Mayville, MI 48744 - Phone
- (989) 660-0960
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6148 Lincoln St.
PO Box 675
Mayville, MI 48744
Mailing address
PO Box 675
Mayville, MI 48744-0675
Phone (989) 660-0960
Other providers in Mayville, MI
- Alpena Supermarket Inc. Dba Neiman'S Family Market
- Alpena Supermarket, Inc.
- Sarah Elizabeth Buhl
- Dolly May Carpenter
- Jessica Glenn
- Jennifer Greenlee
- Richard Paul Horsch
- Deborah Huber
- Tamera Huntley
All providers in Mayville, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.