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NPI Code Detail

MEDICARE: JAMES HOLLAND BCBA

MEDICARE: JAMES HOLLAND 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 Analyst1-13-13933MS

General Provider Information

NPI Number : 1730520347
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES HOLLAND BCBA
Provider Business Mailing Address
First Line : 685 CITADEL DR E STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5358
Country : US
Telephone Number : 720-706-3396
Fax Number :
Provider Business Practice Location Address
First Line : 685 CITADEL DR E STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5358
Country : US
Telephone Number : 720-706-3396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 04/21/2026

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