Bobbie Layne Holloway

NPI #1821661968 in Poquoson, Virginia

Provider Information

NPI Number: 1821661968
Entity Type: Individual
Name: Bobbie Layne Holloway
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 16, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 12 RIVERGATE DR
City: Poquoson
State: Virginia
ZIP Code: 23662-1312
Phone: (757) 876-8616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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