Courtney Capers

Individual provider Active NPI Behavior Analyst · Lake Wales, FL

NPI 1003670175 · NPPES record last updated Feb 9, 2024

Key facts

NPI
1003670175
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
103 Church Rd
Lake Wales, FL 33898-9402
Phone
(863) 632-2559
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

103 Church Rd
Lake Wales, FL 33898-9402

Mailing address

103 Church Rd
Lake Wales, FL 33898-9402
Phone (863) 632-2559

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.