Active NPI
Treichae Janae Hays Holmes, BCBA
- Behavior Analyst
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16783
- Practice address
- 1201 Peachtree St NE Ste 100
Atlanta, GA 30361-3503 - Phone
- (469) 337-1935
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-14-16783 | UT | |
| Behavior Analyst | 103K00000X | 1171 | TX | |
| Doula | 374J00000X | |||
| Behavior Analyst | 103K00000X | 1-14-16783 | TX | Primary |
Addresses
Primary practice location
1201 Peachtree St NE Ste 100
Atlanta, GA 30361-3503
Mailing address
1821 Agarito Drive
Weatherford, TX 76086
Phone (469) 337-1935
Other practice location 1
4767 S 2124 E
3
Holladay, UT 84117-5336
Phone (469) 337-1935
Other practice location 2
1927 Crooked Ln
Fort Worth, TX 76112-4523
Phone (469) 337-1935
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 |
|---|---|---|---|
| 1171 | TX | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affirmative Parenting Solutions, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
3050 Five Forks Trickum Rd SW
Lilburn, GA 30047
Phone (770) 985-3720
5049 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 382-7211
5049 Edwards Ranch Rd
Ste 400
Ft Worth, TX 76109
Phone (817) 382-7218
Organizations & group practices 1
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.
-
- Behavior Analyst
- Fort Worth, TX
- NPI 1083202527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1194132969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 AGARITO DRIVE",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086",
"telephone_number": "469-337-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PEACHTREE ST NE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303613503",
"telephone_number": "469-337-1935"
}
],
"practiceLocations": [
{
"address_1": "4767 S 2124 E",
"address_2": "3",
"address_purpose": "LOCATION",
"city": "Holladay",
"state": "UT",
"postal_code": "841175336",
"country_code": "US",
"telephone_number": "469-337-1935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1927 Crooked Ln",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761124523",
"country_code": "US",
"telephone_number": "469-337-1935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "TREICHAE",
"middle_name": "JANAE HAYS",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2022-08-04",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "1-14-16783",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1171",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-14-16783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.