Aubrey Rose Courtney

Individual provider Active NPI Behavior Technician · Portales, NM

NPI 1245877604 · NPPES record last updated Dec 4, 2019

Key facts

NPI
1245877604
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
921 S Boulder Ave
Portales, NM 88130-6523
Phone
(575) 749-6285
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

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 Technician 106S00000X Yes

Addresses

Primary practice location

921 S Boulder Ave
Portales, NM 88130-6523

Mailing address

921 S Boulder Ave
Portales, NM 88130-6523
Phone (575) 749-6285

Other names

  • Aubrey Rose Pipkin Former name

Other providers in Portales, NM

All providers in Portales, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.