Provider Demographics
NPI:1366036048
Name:HOLBROOK, ANNA CATHERINE (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CATHERINE
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 S STONEBRIDGE DR # 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1957
Mailing Address - Country:US
Mailing Address - Phone:469-780-4884
Mailing Address - Fax:
Practice Address - Street 1:3351 S STONEBRIDGE DR # 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1957
Practice Address - Country:US
Practice Address - Phone:469-780-4884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-18-1143-132994106S00000X
TX5742103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician