Malik Holman, is a
Behavior Technician based in Marlborough, Massachusetts. Malik Holman is licensed to practice in * (Not Available) (license number ) and his current practice location is
225 Cedar Hill St, Marlborough, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 658-2105.
NPI number for Malik Holman is 1174137962 and his current mailing address is 14220 S Normal Ave, Riverdale, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174137962.
Healthcare Provider's Profile
| Full Name | Malik Holman |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 225 Cedar Hill St, Marlborough, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174137962
- Provider Enumeration Date: 08/31/2020
- Last Update Date: 08/31/2020
Medical Identifiers
Medical identifiers for Malik Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174137962 | NPI | - | NPPES |
| H45554400093 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malik Holman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Malik Holman, 14220 S Normal Ave, Riverdale, IL 60827-2309 Ph: (708) 802-1946 | Malik Holman, 225 Cedar Hill St, Marlborough, MA 01752-5900 Ph: (508) 658-2105 |
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