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NPI Code Detail

MEDICARE: BARBARA HOLT

MEDICARE: BARBARA HOLT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245059708
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA HOLT
Provider Business Mailing Address
First Line : 900 W. BROADWAY
Second Line :
City : NEWTON
State : KS
Zip : 67114
Country : US
Telephone Number : 316-399-6830
Fax Number : 316-529-9351
Provider Business Practice Location Address
First Line : 2024 N WOODLAWN ST
Second Line :
City : WICHITA
State : KS
Zip : 67208-1851
Country : US
Telephone Number : 316-399-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/10/2024

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Directions to “ BARBARA HOLT ” Practice Location

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