Kelsey Holt, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-94221 Issued in TN

Practice address

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720

Phone

(865) 394-6612

Fax

(865) 315-7014

NPI assigned

Jun 21, 2017

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

Other names 1

• Kelsey Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• ABA Interventions, LLC

  • Behavior Analyst
  • Knoxville, TN
  • NPI 1609235910
  NPD (past)
• Bierman ABA, Inc.

  • Occupational Therapist
  • Needham Heights, MA
  • NPI 1316464696
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1780104703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234720",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234720",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Pacella Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023681700",
            "country_code": "US",
            "telephone_number": "781-885-1970",
            "fax_number": "317-288-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KELSEY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-19-94221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MYERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darius Edward Holt Jr., PT, DPT
• Edwin Michael Holt, M.D.
• Haley Holt, RN
• Heather Marshall Holt, PHARMD
• Katelyn Holt, PA
• Laura Macey Holt, PA-C
• Lori Jane Holt, NP
• Lynne Holt
• Nicola Holt, M.S., CFY-SLP
• Terry Lee Holt II, MS, MA, LPC-MHSP-S

• Behavior Technician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.