Kathryn Holloran, BCBA

Individual provider Active NPI Behavior Analyst · Washington, DC

NPI 1053613596 · NPPES record last updated Dec 2, 2010

Key facts

NPI
1053613596
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-10-7236 (DC)
Practice address
713 17TH St SE
Washington, DC 20003-3126
Phone
(202) 549-0797
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
A Piece of Mind Behavior Analyst Past Accepting new patients
A Piece of Mind, Inc. Past Accepting new patients
Supportive Care ABA VA LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7236 DC Yes

Addresses

Primary practice location

713 17TH St SE
Washington, DC 20003-3126

Mailing address

713 17TH St SE
Washington, DC 20003-3126
Phone (202) 549-0797

Other providers in Washington, DC

All providers in Washington, DC · Behavior Analyst in District of Columbia

Sources for this page

Verify at the official NPI Registry.