Jessica Lynne Holloway, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56820 Issued in CO

Practice address

7200 E Dry Creek Rd
Centennial, CO 80112-2537

Phone

(866) 300-0822

NPI assigned

Dec 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1144737065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 S CATHAY WAY UNIT 202",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136003",
            "telephone_number": "303-718-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E DRY CREEK RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122537",
            "telephone_number": "866-300-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "072391263",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-56820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Hoiting
• Holistic Technologies Enterprise Inc.
• Gregory F Hollar, D.O.
• Emma Hollars, MD
• Holly Holliday-Vega, RN
• Holly Dental Associates
• Sandra L. Holman, PH.D.
• Brooke Holmes, LAC
• Kevin Robert Holmes, PT, DPT
• Taylor Rose Holst

• Behavior Analyst in Centennial, CO
• Providers in Centennial, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.