Amy Blackholly Consulting
NPI #1649678269 in Lake Forest, California
Provider Information
- NPI Number
- 1649678269
- Entity Type
- Organization
- Organization Name
- Amy Blackholly Consulting
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 13, 2014
- Last Updated
- Dec 13, 2014
Practice Location
- Address
- 25892 VICAR WAY
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-5926
- Phone
- (949) 350-9557
Authorized Official
- Name
- AMY REBECCA BLACKHOLLY, MA BCBA
- Title
- BEHAVIOR ANALYST
- Phone
- (949) 350-9557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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