DAMERE HOLLOWAY RBT
NPI 1053907675
Behavior Technician in Suwanee, GA

Q: What is Damere Holloway's NPI number?

The NPI number for Damere Holloway is 1053907675. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Q: What is Damere Holloway's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Damere Holloway was last updated on December 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 17, 2020

4000 SMITHTOWN RD STE 200, SUWANEE, GA 30024(470) 632-4990(317) 520-8200 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Damere Holloway Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAMERE HOLLOWAY RBT (NPI 1053907675) is an individual behavior technician in Suwanee, Georgia, licensed in Georgia (RBT-20-146899) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1053907675

Entity TypeIndividualMale

Primary Taxonomy106S00000X

Provider Legal NameDAMERE HOLLOWAYCredential: RBT

Location Address4000 SMITHTOWN RD STE 200Suwanee, GA 30024-6560

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(470) 632-4990

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateDecember 17, 2020

NPPES CertifiedDecember 17, 2020

✔ NPI 1053907675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in GA · RBT-20-146899

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

4000 SMITHTOWN RD STE 200, Suwanee, GA 30024

Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOPEBRIDGE, LLC

Psychiatry & Neurology (Child & Adolescent Psychiatry)