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NPI Code Detail

MEDICARE: DASHAYNEQUA HOLIDAY

MEDICARE: DASHAYNEQUA HOLIDAY
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 : 1700771060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DASHAYNEQUA HOLIDAY
Provider Business Mailing Address
First Line : PO BOX 718713
Second Line :
City : CHICAGO
State : IL
Zip : 60677-8713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5915 S EMERSON AVE STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1972
Country : US
Telephone Number : 317-567-9307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 11/06/2025

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Directions to “ DASHAYNEQUA HOLIDAY ” Practice Location

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