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NPI Code Detail

MEDICARE: KAYLA CHRISTINE HOLLOWAY

MEDICARE: KAYLA CHRISTINE HOLLOWAY
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 : 1629928650
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA CHRISTINE HOLLOWAY
Provider Business Mailing Address
First Line : 1601 OVERBROOK RD APT 1228
Second Line :
City : RICHMOND
State : VA
Zip : 23220-1370
Country : US
Telephone Number : 804-398-1922
Fax Number :
Provider Business Practice Location Address
First Line : 2920 W BROAD ST STE 215
Second Line :
City : RICHMOND
State : VA
Zip : 23230-5103
Country : US
Telephone Number : 714-409-0312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ KAYLA CHRISTINE HOLLOWAY ” Practice Location

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