Individual
NAOMI HOLLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11865 WEXFORD CLUB DR, ROSWELL, GA 30075-1471
(925) 752-2119
Mailing address
11865 WEXFORD CLUB DR, ROSWELL, GA 30075-1471
(925) 752-2119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86456
GA
103K00000X
Behavior Analyst
Primary
RBT-1737772
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003200225A
—
GA
Enumeration date
08/07/2018
Last updated
02/18/2026
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