Courtney Anderson

Individual provider Active NPI Behavior Technician · Cary, NC

NPI 1558022897 · NPPES record last updated Jan 8, 2022

Key facts

NPI
1558022897
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
111 Mackenan Dr
Cary, NC 27511-7903
Phone
(919) 371-2848
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Center for Autism Services, LLC Multi-Specialty Past
since Jan 21, 2022
Accepting new patients
The Carolina Center for ABA & Autism Treatment Past
since Jan 21, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193200000X MULTI-SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

111 Mackenan Dr
Cary, NC 27511-7903

Mailing address

111 Mackenan Dr
Cary, NC 27511-7903
Phone (919) 371-2848

Other providers in Cary, NC

All providers in Cary, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.