Active NPI
Courtney Marie Galvan, MA, BCBA
- Behavior Analyst
- Eustis, FL
National Provider Identifier
1336747278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2138 Sandridge Cir
Eustis, FL 32726-4486 - Phone
- (502) 741-7660
- NPI assigned
- Oct 13, 2020
- 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 Analyst | 103K00000X | 0-20-11339 | IN | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2138 Sandridge Cir
Eustis, FL 32726-4486
Mailing address
2138 Sandridge Cir
Eustis, FL 32726-4486
Other practice location 1
2134 Holiday Ln
Franklin, IN 46131-2600
Phone (317) 474-8512
Other names 1
- Courtney Marie Cockerham
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step by Step Behavior Concepts Inc | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Eustis, FL
- NPI 1871943720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1336747278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 SANDRIDGE CIR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 SANDRIDGE CIR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264486",
"telephone_number": "502-741-7660"
}
],
"practiceLocations": [
{
"address_1": "2134 Holiday Ln",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "IN",
"postal_code": "461312600",
"country_code": "US",
"telephone_number": "317-474-8512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVAN",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2023-09-27",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "0-20-11339",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "COCKERHAM",
"middle_name": "MARIE",
"credential": "MA, BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.