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NPI Code Detail

MEDICARE: MRS. LAUREN HOLMES

MEDICARE: MRS. LAUREN HOLMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-21-49900FL
2103K00000XBehavior AnalystFL

General Provider Information

NPI Number : 1154723864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN HOLMES
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2168
Provider Business Practice Location Address
First Line : 10004 N DALE MABRY HWY STE 102
Second Line :
City : TAMPA
State : FL
Zip : 33618-4421
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 01/13/2026

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Directions to “ MRS. LAUREN HOLMES ” Practice Location

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