Active NPI
Jennifer Cristin Holloway, BCBA
- Behavior Analyst
- Falls Church, VA
National Provider Identifier
1962827329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000018
- Practice address
- 7600 Leesburg Pike
410
Falls Church, VA 22043-2004 - Phone
- (703) 506-1930
- NPI assigned
- Feb 21, 2014
- 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 Analyst | 103K00000X | 0133000018 | VA | Primary |
Addresses
Primary practice location
7600 Leesburg Pike
410
Falls Church, VA 22043-2004
Mailing address
7600 Leesburg Pike
410
Falls Church, VA 22043-2004
Phone (703) 506-1930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-06-3019 | Other | BCBA | |
| 0133000018 | Other | VA | BCBA VA LICENSE |
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 |
|---|---|---|---|
| 0133000018 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1962827329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 LEESBURG PIKE",
"address_2": "410",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220432004",
"telephone_number": "703-506-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 LEESBURG PIKE",
"address_2": "410",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220432004",
"telephone_number": "703-506-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "JENNIFER",
"middle_name": "CRISTIN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-06-3019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA VA LICENSE",
"identifier": "0133000018",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.