Individual provider Active NPI

Treichae Janae Hays Holmes, BCBA

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1194132969
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16783 Issued in TX
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

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-14-16783 UT
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
1171TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affirmative Parenting Solutions, LLC Behavior Analyst CurrentSince Jan 1, 2021 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.

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.

Verify at the official NPI Registry.