Holly Elizabeth Hengerer, BCBA
Individual provider Active NPI Behavior Analyst · Callahan, FL
NPI 1013604016 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1013604016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 55248 Bartram TRL
Callahan, FL 32011-3581 - Phone
- (904) 874-8928
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
55248 Bartram TRL
Callahan, FL 32011-3581
Mailing address
55248 Bartram TRL
Callahan, FL 32011-3581
Phone (904) 874-8928
Other practice location 1
12724 Gran Bay Parkway West
Suite 410
Jacksonville, FL 32258-9486
Phone (855) 832-6727
Other providers in Callahan, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.