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NPI Code Detail

MEDICARE: EMILY HOLLADAY

MEDICARE: EMILY HOLLADAY
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 Analyst2482NC
2103K00000XBehavior Analyst2023-094AL

General Provider Information

NPI Number : 1578361259
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HOLLADAY
Provider Business Mailing Address
First Line : 134 INFIELD CT
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-8026
Country : US
Telephone Number : 704-799-6824
Fax Number : 704-799-6825
Provider Business Practice Location Address
First Line : 1280 COLUMBIANA RD STE 150
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1604
Country : US
Telephone Number : 205-974-4519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 12/15/2025

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Directions to “ EMILY HOLLADAY ” Practice Location

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