Holly Johnson Shimoskie
Behavior Technician in Winter Garden, FL. Individual provider (NPI-1).
NPI number1043075005
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1043075005
- Entity type
- Individual (NPI-1)
- Name
- Holly Johnson Shimoskie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2024
- Certification date
- Feb 19, 2024
- Last updated
- Feb 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
13650 W Colonial Dr Ste 150Winter Garden, FL 34787-3994
Phone 844-244-1818
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-244-1818
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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