CMS-1500 Box 24J / 33a • NPI
1790039774
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
21337 DRAKE RD UNIT A, STRONGSVILLE, OH, 44149
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790039774 (HOLLEE ANDERSON, BCBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790039774 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HOLLEE ANDERSON, BCBA |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 21337 DRAKE RD UNIT A, STRONGSVILLE, OH, 44149 |
| Practice Telephone / Fax | Tel: (440) 572-1337 |
| Administrative Mailing Address | 433 LYNN DR, BEREA, OH, 44017 |
| Enumeration & Last Sync | Enumerated: 2012-10-30 | CMS Record Updated: 2012-10-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HOLLEE ANDERSON, BCBA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: OH | License: 0-03-0794 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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