Individual
JEREMY RANDAL COREY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14040 N CAVE CREEK RD FL 3, PHOENIX, AZ 85022-6117
(480) 292-9411
Mailing address
610 E BELL RD STE 2-229, PHOENIX, AZ 85022-2397
(480) 647-1643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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