Individual provider · Type 1 NPI

Odyssey Nicole Holloman

Assistant Behavior Analyst · Grand Rapids, MI

NPI number 1992652721 Active

Practice location

600 3 Mile Rd NW
Grand Rapids, MI 49544-1685

Call (855) 832-6727 Map

Mailing address

1428 E Alcott St
Kalamazoo, MI 49001-4345

Specialties and licenses

Taxonomy	Code	License
Assistant Behavior Analyst Primary	106E00000X	None listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1992652721

Odyssey Nicole Holloman's National Provider Identifier is 1992652721, issued on Mar 11, 2026. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 11, 2026.