Individual provider Active NPI

Jeremy Holt, BCBA

  • Behavior Analyst
  • Richmond Hill, GA
National Provider Identifier
1770969503
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33286
Practice address
10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone
(931) 252-0040
NPI assigned
Aug 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-33286 Primary

Addresses

Primary practice location

10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948

Mailing address

10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone (931) 252-0040

Other practice location 1

2237 Lowes Dr W
Clarksville, TN 37040-6889
Phone (931) 252-0040

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1770969503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10164 FORD AVE STE D",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243948",
            "telephone_number": "931-252-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10164 FORD AVE STE D",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243948",
            "telephone_number": "931-252-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2237 Lowes Dr W",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406889",
            "country_code": "US",
            "telephone_number": "931-252-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JEREMY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.