Individual provider · Type 1 NPI

Charise Holloway

Specialist · San Jose, CA

NPI number 1578025839 Active

Practice location

1671 The Alameda Ste 306
San Jose, CA 95126-2222

Mailing address

1613 Daisy Tree
Ceres, CA 95307-9599

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1578025839

Charise Holloway's National Provider Identifier is 1578025839, issued on Apr 4, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Dec 2, 2022.