MEDICARE: HOLLIE HARVEY RBT

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	RBT-20-121413

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-20-121413	OTHER	TX	BACB

General Provider Information

NPI Number	:	1780515171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLIE HARVEY RBT

Provider Business Mailing Address
First Line	:	3006 BEE CAVES RD STE B200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6751
Country	:	US
Telephone Number	:	512-328-5599
Fax Number	:	512-328-5599

Provider Business Practice Location Address
First Line	:	3006 BEE CAVES RD STE B200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6751
Country	:	US
Telephone Number	:	512-328-5599
Fax Number	:	512-328-5599

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ HOLLIE HARVEY RBT” Practice Location

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