Kortney Fountain, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4627 Issued in TX

Practice address

2105 W TX-1604 Loop S
San Antonio, TX 78245

Phone

(210) 782-9001

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kortney Fountain Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1043851900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W TX-1604 LOOP S",
            "city": "SAN ANTONO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "210-625-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W TX-1604 LOOP S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "210-782-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Schertz Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541499",
            "country_code": "US",
            "telephone_number": "210-625-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "KORTNEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORTNEY",
            "last_name": "FOUNTAIN",
            "credential": "MA, BCBA, LBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in San Antonio, TX
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.