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NPI Code Detail

MEDICARE: ANNIAH MONET HOLLIDAY

MEDICARE:   ANNIAH MONET HOLLIDAY
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
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1124987805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIAH MONET HOLLIDAY
Provider Business Mailing Address
First Line : 7932 SUMMA AVE STE B2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3736
Country : US
Telephone Number : 603-727-8820
Fax Number :
Provider Business Practice Location Address
First Line : 7932 SUMMA AVE STE B2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3736
Country : US
Telephone Number : 603-727-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ ANNIAH MONET HOLLIDAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.