Active NPI
Holly R Spears
- Behavior Analyst
- Columbia, SC
National Provider Identifier
1417545211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1505 Blanding St
Columbia, SC 29201-2906 - Phone
- (803) 929-0011
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1505 Blanding St
Columbia, SC 29201-2906
Mailing address
403 Walnut St
Camden, SC 29020-3619
Phone (803) 427-0975
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1417545211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 WALNUT ST",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203619",
"telephone_number": "803-427-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012906",
"telephone_number": "803-929-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "HOLLY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Daniel Spaulding
- Lisa Speach, APRN
- Speaking Miracles, LLC
- Patricia Ann Speaks, FNP
- Erica Spears, LCSW
- Kimeche Shprell Spears
- Specialized Alternative for Families and Youth of South Carolina, Inc.
- Specialized Alternatives for Families and Youth
- Spectrum Family Solutions & Center for Stress Management LLC
- Speech Formula Therapeutics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.