Healthcare Provider Details

I. General information

NPI: 1730520347
Provider Name (Legal Business Name): JAMES HOLLAND BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 CITADEL DR E STE 100
COLORADO SPRINGS CO
80909-5358
US

IV. Provider business mailing address

685 CITADEL DR E STE 100
COLORADO SPRINGS CO
80909-5358
US

V. Phone/Fax

Practice location:
  • Phone: 720-706-3396
  • Fax:
Mailing address:
  • Phone: 720-706-3396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-13-13933
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: