Courtney Beth Pernick

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20113 Issued in VA

Practice address

3500 Remson CT
Charlottesville, VA 22901-3508

Phone

(434) 923-8252

Fax

(434) 282-2180

NPI assigned

Sep 28, 2021

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

• Courtney Beth Smith Former name

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 and National Provider Directory roles.

• Virginia Institute of Autism

  • Developmentally Disabled Services Day Training Agency
  • Charlottesville, VA
  • NPI 1326355751

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1275204356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 REMSON CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013508",
            "telephone_number": "434-923-8252",
            "fax_number": "434-282-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 REMSON CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013508",
            "telephone_number": "434-923-8252",
            "fax_number": "434-282-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNICK",
        "first_name": "COURTNEY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-15-20113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SMITH",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Perdue
• Leslie Peregoy
• Andrea Perez, LCSW
• Debra G. Perina, M.D.
• Patti Perks
• Christina M Peroutka, MD
• Maria Amelia Perozo, MD
• Linda Paige D'Andrea Perriello, M.D.
• Julia Catherine Perrone
• Allison Kirstie Perry, PHARM.D.

• Behavior Analyst in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.