MEDICARE: CYNTHIA 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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1750093118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA HOLMES

Provider Business Mailing Address
First Line	:	PO BOX 631278
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-1278
Country	:	US
Telephone Number	:	800-356-4049
Fax Number	:	941-485-0519

Provider Business Practice Location Address
First Line	:	2751 WARM SPRINGS RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6858
Country	:	US
Telephone Number	:	800-356-4049
Fax Number	:	941-485-0519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2022
Last Update Date	:	12/16/2022

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Directions to “ CYNTHIA HOLMES ” Practice Location

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