William Timothy Courtney, BCBA
Individual provider Active NPI Behavior Analyst · Madison, IN
NPI 1407086432 · NPPES record last updated Jul 24, 2009
Key facts
- NPI
- 1407086432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-06-2842
- Practice address
- 135 E Main St # 1
Madison, IN 47250-3459 - Phone
- (812) 493-3322
- NPI assigned
- Jul 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Autism Therapy | Behavior Analyst | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-06-2842 | Yes |
Addresses
Primary practice location
135 E Main St # 1
Madison, IN 47250-3459
Mailing address
135 E Main St # 1
Madison, IN 47250-3459
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.