Holly Hockenberry

Individual provider Active NPI Behavior Technician · Yeagertown, PA

NPI 1992364699 · NPPES record last updated Jun 7, 2019

Key facts

NPI
1992364699
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
BH003546 (PA)
Practice address
25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone
(717) 248-8540
NPI assigned
Jun 7, 2019
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

State licenses

LicenseStateTypeSpecialty
BH003546PAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BH003546 PA Yes

Addresses

Primary practice location

25 Rothermel Dr
Yeagertown, PA 17099-9707

Mailing address

25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone (717) 248-8540

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address hhockenberry@merakey.org Health Information Exchange (HIE)
CONNECT URL hhockenberry@merakey.org Health Information Exchange (HIE)

Other providers in Yeagertown, PA

All providers in Yeagertown, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.