Provider Demographics
NPI:1881237782
Name:HOLLIDAY, LEXIE LYNETTE (BCBA)
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:LYNETTE
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:LYNETTE
Other - Last Name:GREENLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4101
Mailing Address - Country:US
Mailing Address - Phone:513-874-0419
Mailing Address - Fax:
Practice Address - Street 1:305 CAMERON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4101
Practice Address - Country:US
Practice Address - Phone:513-874-0419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-18-34331103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst