Active NPI
Maya Shanks Holmes
- Behavior Technician
- Woodstock, GA
National Provider Identifier
1740082973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-252189
- Practice address
- 345 Parkway 575
Woodstock, GA 30188-3897 - Phone
- (470) 473-5920
- NPI assigned
- Mar 26, 2025
- 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 Technician | 106S00000X | RBT-23-252189 | GA | Primary |
Addresses
Primary practice location
345 Parkway 575
Woodstock, GA 30188-3897
Mailing address
516 Cedarwood Dr
Canton, GA 30115-4692
Phone (504) 345-3229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-252189 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1740082973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 CEDARWOOD DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301154692",
"telephone_number": "504-345-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 PARKWAY 575",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883897",
"telephone_number": "470-473-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "MAYA",
"middle_name": "SHANKS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-23-252189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- Holdheide Education College Park (Wellness Oasis)
- Robert Holewinski, D.C.
- Holland Consulting Practice LLC (Dr Honoris Causa Maleria Holland)
- Caroline Field Hollier
- Evelyn Cornelia Holliman, CONNIE HOLLIMAN
- Martha Jo Holsomback, WHNP
- Matthew Scott Holt, PA-C
- Hyun J Hong, DMD
- Kimberly A Hood, LPC, NCC
- Destinee Hooks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.