Provider Demographics
NPI:1821401456
Name:SALICCO, HOLLY BETH (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:BETH
Last Name:SALICCO
Suffix:
Gender:F
Credentials:BCBA
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Mailing Address - Street 1:764 OLD CHATTANOOGA PIKE SW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-8566
Mailing Address - Country:US
Mailing Address - Phone:423-472-5268
Mailing Address - Fax:423-614-5466
Practice Address - Street 1:764 OLD CHATTANOOGA PIKE SW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-8566
Practice Address - Country:US
Practice Address - Phone:423-472-5268
Practice Address - Fax:423-614-5466
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-11-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst