Holley, Malyssa L
Holley, Malyssa L is an individual health care provider with primary practice located at 5601 Coventry Ln , Fort Wayne IN 46804-7145. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Holley, Malyssa L can be contacted via phone (260) 755-1438.Contact Information
Primary practice address
5601 Coventry Ln
Fort Wayne IN 46804-7145
Phone: (260) 755-1438
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1073120200 |
|---|---|
| LBN Legal business name | Holley, Malyssa L |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2020 |
| Last updated | Oct 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Thomas, Evonne Na
412 W Paulding Rd 412 West Paulding Road, Fort Wayne IN 46807-3430 -
Amstutz, Angela Gale
10313 Aboite Center Rd , Fort Wayne IN 46804-5435 -
Ryan, Jessica Lee
10313 Aboite Center Rd , Fort Wayne IN 46804-5435 -
Forte, Jill Diane
10313 Aboite Center Rd , Fort Wayne IN 46804-5435 -
Mccomas, Paul David
10313 Aboite Center Rd , Fort Wayne IN 46804-5435 -
Mccomas, Amy Benilde
10313 Aboite Center Rd , Fort Wayne IN 46804-5435 -
Fulcher, Rebecca Marie-Rose
7230 Engle Rd Ste 102 , Fort Wayne IN 46804-2234 -
Brown, Lisa
2817 E Dupont Rd , Fort Wayne IN 46825-1668