Provider Demographics
NPI:1588813372
Name:HOLMGREN, OZGUL KADRIYE (M ED, BCBA)
Entity Type:Individual
Prefix:
First Name:OZGUL
Middle Name:KADRIYE
Last Name:HOLMGREN
Suffix:
Gender:F
Credentials:M ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11133 E MESQUITE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-3530
Mailing Address - Country:US
Mailing Address - Phone:631-804-4268
Mailing Address - Fax:
Practice Address - Street 1:11133 E MESQUITE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-3530
Practice Address - Country:US
Practice Address - Phone:631-804-4268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
IL1-18-30528103K00000X
AZBEH-000739103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist