Courtney Poore

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-24-15555 Issued in FL

Practice address

171 State Highway 83 Unit A101
Defuniak Springs, FL 32433-7427

Phone

(850) 585-9189

NPI assigned

Apr 30, 2018

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

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.

• Great Gains Behavioral Solutions LLC

  • Behavior Analyst
  • Defuniak Springs, FL
  • NPI 1780010520
  NPD (past)

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1306334875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 STATE HIGHWAY 83 UNIT A101",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337427",
            "telephone_number": "850-585-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 STATE HIGHWAY 83 UNIT A101",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337427",
            "telephone_number": "850-585-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-24-15555",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-24-15555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert King Persons, D.O.
• Holly Pettet
• Chelsea L Peyton
• Christopher Thomas Polk, OD
• Angela Renee Pool, ARNP
• Mia Porter, RBT
• Stacy Potts
• Genevieve Powell
• Prescription Place of Defuniak Springs Inc
• Prescription Place of Defuniak Springs Inc

• Assistant Behavior Analyst in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.