Airth McCourt, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-54709 Issued in NM

Practice address

412 Camino Don Tomas
Bernalillo, NM 87004-9101

Phone

(505) 867-3396

NPI assigned

Feb 9, 2022

Last updated

Feb 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abrazos Family Support Services

  • Developmentally Disabled Services Day Training Agency
  • Bernalillo, NM
  • NPI 1407161474
  NPD (past)
• Abrazos Family Support Services

  • Developmentally Disabled Services Day Training Agency
  • Bernalillo, NM
  • NPI 1528185899
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1114671021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870040788",
            "telephone_number": "505-387-9447",
            "fax_number": "505-867-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CAMINO DON TOMAS",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870049101",
            "telephone_number": "505-867-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURT",
        "first_name": "AIRTH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-21-54709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nissa Martinez
• Joseph Patton Mashburn
• James Michael Masica, LPCC
• Heather McCauley-Fisher, M.S.
• Kathryn McClain, DO
• Hannah Wood McDermott, PHD
• Lucille Vincent McDermott
• Scott McDougal
• Brandon Lawrence Medley, LMSW
• Claire Judith Melgaard, NP

• Behavior Analyst in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.