Healthcare Provider Details

I. General information

NPI: 1851234892
Provider Name (Legal Business Name): CURTIS HOLLOWAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 MONTEBELLO TER
BALTIMORE MD
21214-3311
US

IV. Provider business mailing address

3231 MASSACHUSETTS AVE
BALTIMORE MD
21229-3766
US

V. Phone/Fax

Practice location:
  • Phone: 443-570-1402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: