Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicolette Victoria Holzbaur

Individual provider Behavior Technician · NPI 1447767157

Nicolette Victoria Holzbaur is a Qualified Speech Language Pathologist in Jacksonville, North Carolina. Qualified in 2021, 5 years ago. Practices with Coastal Speech Therapy Inc, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
5
Licensed in
NC, NJ
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

103 N Plain Rd
Jacksonville, NC 28546-6760
Phone: (888) 258-6905
Fax: (888) 258-6905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 168 Franklin Corner Rd Bldg 1, Lawrenceville, NJ 08648-2529 — (609) 299-1279
  • 1651 Old Meadow Rd Ste 600, Mc Lean, VA 22102-4389 — (800) 828-5659

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30003921 (NC)
Behavior Technician Taxonomy 106S00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS01170900 (NJ)

Record details

NPI number1447767157
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2018
Last updated in NPPESSeptember 12, 2025
Certification dateJune 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Coastal Speech Therapy Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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