Courtney Hall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12315 Pond Run Dr Apt 102
Lake Ridge, VA 22192-7067

Phone

(251) 721-2950

Fax

(251) 721-2950

NPI assigned

Jul 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1083596134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 POND RUN DR APT 102",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221927067",
            "telephone_number": "251-721-2950",
            "fax_number": "251-721-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 POND RUN DR APT 102",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221927067",
            "telephone_number": "251-721-2950",
            "fax_number": "251-721-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Graham, MD
• Colin Michael Grant, D.O.
• Harriet Vaughn Greenfield, NP
• Leslianne Grendysz, LNP
• Kristine Caroline Guerrero
• Nora Hassan
• Meredith Hill, RDN
• Ramin Ipakchi, MD
• Gilissa Johnson
• Jennifer Johnson

• Behavior Technician in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.