Active NPI
Jeremy Holt, BCBA
- Behavior Analyst
- Richmond Hill, GA
National Provider Identifier
1770969503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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 | 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.