NPI 1053993774

Kenneth Donovan Holmbeck

Practitioner Behavior Technician Medford, OR

Practice location

Address: 3709 Citation Way, Medford, OR 97504-9022
Phone: (541) 500-6532
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Oregon →

Registry record

NPI: 1053993774
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2021
Record last updated: 22 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.