Holly Blais

Individual provider Active NPI Behavior Analyst · Epping, NH

NPI 1851790646 · NPPES record last updated Dec 28, 2020

Key facts

NPI
1851790646
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-12-11718
Practice address
27 Long Meadow Farm Dr
Epping, NH 03042-2910
Phone
(603) 235-9429
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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
Projectlife Services, LLC Behavior Analyst Current
since Jan 3, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-11718 Yes

Addresses

Primary practice location

27 Long Meadow Farm Dr
Epping, NH 03042-2910

Mailing address

27 Long Meadow Farm Dr
Epping, NH 03042-2910
Phone (603) 235-9429

Other practice location 1

200 Griffin Rd Ste 5
Portsmouth, NH 03801-7145
Phone (800) 778-5560

Other providers in Epping, NH

All providers in Epping, NH · Behavior Analyst in New Hampshire

Sources for this page

Verify at the official NPI Registry.