Provider Information
Last Updated : Jul 26 2024 11:08 AM
Amalie D Holly
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Holly |
First Name Amalie |
Middle Name D |
Address 2377 W Shaw Ave |
State CA |
Zip Code 93711 |
Phone (209)604-5969 |
Hours Mon - Fri 8:00 AM - 6:00 PM |
Gender F |
Title MSP |
Physician ID 906418 |
Language 1 Spanish |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1285978510 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB31320 |
Email lindam@genesisbehaviorcenter.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |