Bethany S Holland, MS, BCBA
Individual provider Active NPI Behavior Analyst · Cresco, IA
NPI 1134764772 · NPPES record last updated Jul 23, 2023
Key facts
- NPI
- 1134764772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-21-52419
- Practice address
- 540 3Rd St SE
Cresco, IA 52136-2030 - Phone
- (563) 203-2327
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learn Play Academy LLC | Behavior Analyst | Current |
Accepting new patients |
| Rochester Center for Children, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Behavior Analyst | 103K00000X | 1-21-52419 | Yes |
Addresses
Primary practice location
540 3Rd St SE
Cresco, IA 52136-2030
Mailing address
540 3Rd St SE
Cresco, IA 52136-2030
Phone (563) 203-2327
Other providers in Cresco, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2023. 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.