Kourtney Souza

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2954 Issued in TX

Practice address

1500 S Lamar Blvd Apt 2015
Austin, TX 78704-2944

Phone

(207) 480-0118

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Behavioral Perspective Inc.

  • Behavior Analyst
  • West Chicago, IL
  • NPI 1578883500
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386282630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAMAR BLVD APT 2015",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042944",
            "telephone_number": "207-480-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAMAR BLVD APT 2015",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042944",
            "telephone_number": "207-480-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "KOURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksouza@ctac1.com",
            "affiliation": "Y",
            "endpointDescription": "CTAC email address",
            "affiliationName": "Central Texas Autism Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3006 Bee Caves Rd Ste B200",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southwest Skin and Vein Center PLLC
• Southwest Surgical Operating Company, LLC (Advanced Surgical Center - Austin)
• Southwest Surgical Systems, Inc.
• Southwestern Colon & Rectal Surgery, PA
• Southwood Care Center LLC
• Sovereign Serenity Care LLC
• Kelly Diane Sowa
• Tracy L Sowada, RN, MSN, CNS
• Jennifer G Sowards, AU.D
• Hiba Fadi Sowayci

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

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

Verify at the official NPI Registry.