Holisha Coleman

Individual provider Active NPI Behavior Analyst · Anderson, SC

NPI 1942896485 · NPPES record last updated Nov 2, 2023

Key facts

NPI
1942896485
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-23-65746 (SC)
Practice address
4323 Old Mill Rd Ste 8
Anderson, SC 29621-1117
Phone
(864) 671-1466
Fax
(615) 815-1496
NPI assigned
Dec 18, 2020
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-23-65746 SC Yes

Addresses

Primary practice location

4323 Old Mill Rd Ste 8
Anderson, SC 29621-1117

Mailing address

PO Box 931142
Atlanta, GA 31193-2679

Other providers in Anderson, SC

All providers in Anderson, SC · Behavior Analyst in South Carolina

Sources for this page

Verify at the official NPI Registry.