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General NPI Number Information
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NPI Number | 1982203600
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Entity Type | Individual
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Provider Name | JENNIFER HOLMES
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 25428 DEVONSHIRE KNOLL ST
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City | KATY
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State | TX
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Zip | 77493-3189
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Country | US
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Telephone | 409-550-0860
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Fax |
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Provider Business Mailing Address
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Address Line | 25428 DEVONSHIRE KNOLL ST
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City | KATY
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State | TX
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Zip | 77493-3189
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Country | US
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Telephone | 409-550-0860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-20-139824
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-87025
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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