Brandy Jean Hollis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12368886 Issued in OH

Practice address

3070 Riverside Dr Ste 200
Columbus, OH 43221-2547

Phone

(866) 523-4268

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kadiant, LLC

  • Behavior Analyst
  • Oakland, CA
  • NPI 1811547052
  NPD (past)

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316713910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 HUMELSINE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364129",
            "telephone_number": "330-990-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 RIVERSIDE DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212547",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "BRANDY",
        "middle_name": "JEAN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "12368886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Hollingsworth
• Patricia F Hollingsworth, MD
• Tracey Hollingsworth, MA CCC-SLP
• Angela Sue Hollins
• Shawntera Hollinshead
• Jocelyn Kavonne Hollis, BSW, LSW
• John B Hollis, M.S.W., L.I.S.W.
• Olivia Marie Hollis, MS, CCC-SLP
• Joshua Bailey Hollman
• Margaret Paige Hollobaugh

• Behavior Analyst in Columbus, OH
• Providers in Columbus, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.