Individual
JEREMY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
10164 FORD AVE STE D, RICHMOND HILL, GA 31324-3948
(931) 252-0040
Mailing address
10164 FORD AVE STE D, RICHMOND HILL, GA 31324-3948
(931) 252-0040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33286
—
Other
Enumeration date
08/04/2015
Last updated
01/14/2019
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