Andrea L Holladay, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1686 Issued in FL

Practice address

5302 S Florida Ave
Suite 206
Lakeland, FL 33813-4922

Phone

(863) 937-8067

Fax

(863) 937-8067

NPI assigned

Feb 9, 2010

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

Credentials

Master of Arts

Practice roles

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.

• Holladay Consulting, LLC

  • Behavior Analyst
  • Vero Beach, FL
  • NPI 1609553957
  NPD Authorized official
• Holladay Child Development Services,LLC

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1295067593
  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1598097040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 S FLORIDA AVE STE 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134910",
            "telephone_number": "863-937-8067",
            "fax_number": "863-937-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 S FLORIDA AVE",
            "address_2": "SUITE 206",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134922",
            "telephone_number": "863-937-8067",
            "fax_number": "863-937-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holladay Child Development Services,LLC
• Anne Holloman, CNM
• Karen Hollwedel, OTR
• Yalanda Catrice Holmes, APRN
• Saundra Holseth, DO
• Heather C Holst, FNP

• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.