Tamera Holley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

345 N Main St
West Hartford, CT 06117

Phone

(203) 816-0091

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tamra Holley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Springtide Child Development, Inc.

  • Behavior Analyst
  • Trumbull, CT
  • NPI 1396383568
  NPD (past)
• Cortica Developmental Therapies PA

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1619554680
  NPD (past)

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1124875489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST SUITE 260",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06117",
            "telephone_number": "203-816-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "TAMERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMRA",
            "last_name": "HOLLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah S Hoffman, MD
• Herbert Saul Hoffman, MD
• Jennifer Faith Hoffman, LCSW
• Holding Hope Counseling Center
• Brenda Holian, CDN
• Hollie Barkoff LCSW, LLC
• Timothy James Holsbeke, PA
• G. Grant Holtzberg, PH.D.
• Elizabeth Dolan Holzhauer, D.M.D
• Kimberly Holzthum

• Behavior Technician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Behavior Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.