Individual provider Active NPI

Zachariah Allen Holloway

  • Behavior Technician
  • Chicago, IL
National Provider Identifier
1063086429
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6116 N Winthrop Ave Apt 2W
Chicago, IL 60660-2637
Phone
(844) 359-7629
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6116 N Winthrop Ave Apt 2W
Chicago, IL 60660-2637

Mailing address

6116 N Winthrop Ave Apt 2W
Chicago, IL 60660-2637
Phone (844) 359-7629

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20-145217OtherRBT CREDENTIALS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zak.hubbard@cultivatebhe.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1063086429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 N WINTHROP AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602637",
            "telephone_number": "844-359-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 N WINTHROP AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602637",
            "telephone_number": "844-359-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "ZACHARIAH",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CREDENTIALS",
            "identifier": "RBT-20-145217",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zak.hubbard@cultivatebhe.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1220 Ashley Cir",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.