Active NPI
Jill Holub, M.S. ED., BCBA, LBA
- Behavior Analyst
- Frisco, TX
National Provider Identifier
1568098382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3321
- Practice address
- 8720 Main St
Frisco, TX 75033-3079 - Phone
- (469) 803-5655
- NPI assigned
- Mar 13, 2020
- 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 | 3321 | TX | Primary |
Addresses
Primary practice location
8720 Main St
Frisco, TX 75033-3079
Mailing address
1326 Beechwood Dr
Lewisville, TX 75067-3306
Phone (469) 525-6209
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3321 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1568098382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 BEECHWOOD DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673306",
"telephone_number": "469-525-6209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 MAIN ST",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333079",
"telephone_number": "469-803-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLUB",
"first_name": "JILL",
"credential": "M.S. ED., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.