Active NPI
Courtney White
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1093484586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75093
- Practice address
- 540 Oak Centre Dr Ste 111
San Antonio, TX 78258-3936 - Phone
- (512) 731-0548
- NPI assigned
- Sep 8, 2021
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 00015734 | TX | |
| Behavior Analyst | 103K00000X | 1-24-75093 | TX | Primary |
Addresses
Primary practice location
540 Oak Centre Dr Ste 111
San Antonio, TX 78258-3936
Mailing address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (210) 761-3504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00015734 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
100 N Pacific Coast Hwy
Ste 1400
El Segundo, CA 90245
Phone (310) 304-0532
540 Oak Centre Dr
Ste 111
San Antonio, TX 78258
Phone (210) 761-3504
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1093484586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N PACIFIC COAST HWY STE 1400",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455602",
"telephone_number": "210-761-3504",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 OAK CENTRE DR STE 111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583936",
"telephone_number": "512-731-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "00015734",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-24-75093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.