Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLI HENNINGSEN JERDES
ActiveHOLLI HENNINGSEN JERDES is a Behavior Analyst healthcare provider located in OLYMPIA, Washington. NPI 1114299203 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · OLYMPIA, WA
Registration Details
- NPI Number
- 1114299203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2012 (14.493308939696 yrs)
- Last Updated
- May 17, 2022
- Licenses
-
1073813 (CA)BA60760954 (WA)
Practice Information
- Address
-
905 CARLYON AVE SEOLYMPIA, WA, 985013503Browse WA providers · Browse ZIP 98501
- Phone
- 3606884321
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in OLYMPIA, WA
| Name | Credential | NPI |
|---|---|---|
| MELISSA A. POLLICK | BCBA | 1225355530 |
| MRS. TRISTA LYNN MARTIN TEMPKE | — | 1649517269 |
| DANA DECOSTA-PEILER | BCBA, LBA | 1881030294 |
| LAURA JENINE CAMPBELL | — | 1861824088 |
| MRS. KELLI VANCE | — | 1073945804 |
| SHANNON KELLER | — | 1578993085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.