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NPI Code Detail

MEDICARE: FAITH ROBISON HOLLEY BCBA

MEDICARE:   FAITH ROBISON HOLLEY  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1093395048
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH ROBISON HOLLEY BCBA
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 355 SOUTH MAIN ST
Second Line : 1ST FLOOR
City : GREENVILLE
State : SC
Zip : 29601-2605
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 12/04/2025

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Directions to “ FAITH ROBISON HOLLEY BCBA” Practice Location

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