Provider Demographics
NPI:1528822848
Name:HOLMGREN, ALAINA JANE
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:JANE
Last Name:HOLMGREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 KEATHLEY DR
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-8814
Mailing Address - Country:US
Mailing Address - Phone:269-986-6475
Mailing Address - Fax:
Practice Address - Street 1:270 KEATHLEY DR
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-8814
Practice Address - Country:US
Practice Address - Phone:269-986-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician