Provider Demographics
NPI:1720628464
Name:HOLLAND, MEGHAN (LMFT, BCBA)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:
Credentials:LMFT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 MADRID AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7306
Mailing Address - Country:US
Mailing Address - Phone:661-304-3067
Mailing Address - Fax:
Practice Address - Street 1:1522 18TH ST STE 300
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4433
Practice Address - Country:US
Practice Address - Phone:661-304-3067
Practice Address - Fax:661-304-3067
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-19-38745103K00000X
CA131108106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst