Active NPI
Monique Hollis
- Behavior Technician
- Newport News, VA
National Provider Identifier
1124619234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-127793
- Practice address
- 707 River Rock Way Ste 104
Newport News, VA 23608-0053 - Phone
- (845) 616-9217
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-127793 | VA | Primary |
Addresses
Primary practice location
707 River Rock Way Ste 104
Newport News, VA 23608-0053
Mailing address
780 Lynnhaven Pkwy
Virginia Beach, VA 23452-7332
Phone (757) 301-9065
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-127793 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1124619234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "757-301-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 RIVER ROCK WAY STE 104",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236080053",
"telephone_number": "845-616-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-20-127793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.