Nevaeh Ayanna Hollis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

348 Miracle Strip Pkwy SW Ste 38
Fort Walton Beach, FL 32548-5264

Phone

(850) 420-2167

Fax

(850) 807-5260

NPI assigned

Jul 17, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1609796978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 HIGHWAY 87",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325661046",
            "telephone_number": "850-420-2167",
            "fax_number": "850-807-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 38",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485264",
            "telephone_number": "850-420-2167",
            "fax_number": "850-807-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "NEVAEH",
        "middle_name": "AYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC
• Holiday CVS LLC
• Daniel N Holland, MD
• Chanarlarp Holliday, M.D.
• Gerald M Hollingsworth
• Kerri Holloway, LMHC
• Tiffany Holmes
• Thomas Manning Holt, M.D.
• Home Safe Mobility Solutions
• Danielle Homich

• Behavior Technician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.