HOLLI HENNINGSEN JERDES

Behavior Analyst

Active Individual
NPI: 1114299203

Practice Address

905 CARLYON AVE SE
Olympia, WA 98501

Phone: (360) 688-4321

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes BA60760954 (WA)

Frequently Asked Questions

NPI 1114299203 is the National Provider Identifier for HOLLI HENNINGSEN JERDES, a Behavior Analyst provider located in Olympia, WA. This NPI was enumerated on February 3, 2012.
HOLLI HENNINGSEN JERDES practices at 905 CARLYON AVE SE, Olympia, WA 98501.

Quick Facts

NPI
1114299203
Type
Individual
Enumerated
Feb 3, 2012
Last Updated
May 17, 2022

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