Provider Demographics
NPI:1598067290
Name:HOLLOWAY, KAREN CRAWFORD (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:CRAWFORD
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-6928
Mailing Address - Country:US
Mailing Address - Phone:757-410-1619
Mailing Address - Fax:
Practice Address - Street 1:1200 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-6928
Practice Address - Country:US
Practice Address - Phone:757-410-1619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1-10-7552103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst