Healthcare Provider Details

I. General information

NPI: 1952548380
Provider Name (Legal Business Name): HOLLY ANGELIQUE YORK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST STE 200
CHAPEL HILL NC
27516-4493
US

IV. Provider business mailing address

PO BOX 749
BELMONT NC
28012-0749
US

V. Phone/Fax

Practice location:
  • Phone: 984-528-8787
  • Fax: 984-246-1223
Mailing address:
  • Phone: 704-869-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-08-4659
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4426
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: