Provider Demographics
NPI:1174382022
Name:HOLLEY, MALIK CURTIS (RBT)
Entity type:Individual
Prefix:
First Name:MALIK
Middle Name:CURTIS
Last Name:HOLLEY
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 FRY RD STE H
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6921
Mailing Address - Country:US
Mailing Address - Phone:281-656-8726
Mailing Address - Fax:281-715-4995
Practice Address - Street 1:5330 FRY RD STE H
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6921
Practice Address - Country:US
Practice Address - Phone:281-656-8726
Practice Address - Fax:281-715-4995
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician