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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KELLIE CHRISTINE HOLM, MS, BCBA

Active

MISS KELLIE CHRISTINE HOLM, MS, BCBA is a Behavior Analyst healthcare provider located in ENUMCLAW, Washington. NPI 1659198604 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · ENUMCLAW, WA

Registration Details

NPI Number
1659198604
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2024 (1.8543952658779 yrs)
Last Updated
Oct 4, 2024
License
LBA.BA.61607964 (WA)

Practice Information

Address
1736 WASHINGTON AVE
ENUMCLAW, WA, 980223207
Browse WA providers · Browse ZIP 98022
Phone
2533479003
Primary Specialty
Behavior Analyst
103K00000X
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.