Holly H Mothershead
Individual provider Active NPI Behavior Technician · Palmer, AK
NPI 1396610002 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1396610002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7335 E Palmer Wasilla Hwy
Palmer, AK 99645-7710 - Phone
- (907) 745-6200
- Fax
- (907) 745-6211
- NPI assigned
- Oct 10, 2025
- 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
7335 E Palmer Wasilla Hwy
Palmer, AK 99645-7710
Mailing address
4605 N Almaden Dr
Palmer, AK 99645-8308
Phone (907) 745-6200
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. 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.