MEDICARE: MADISON E. HOLLINGER

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
1	106S00000X	Behavior Technician		OH

General Provider Information

NPI Number	:	1871448753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON E. HOLLINGER

Provider Business Mailing Address
First Line	:	3236 ELIM MANOR CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3979
Country	:	US
Telephone Number	:	614-374-9859
Fax Number	:

Provider Business Practice Location Address
First Line	:	4664 LARWELL DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3621
Country	:	US
Telephone Number	:	614-487-7805
Fax Number	:	614-487-7809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ MADISON E. HOLLINGER ” Practice Location

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