Courtney Lee

Individual provider Active NPI Behavior Technician · Southern Pines, NC

NPI 1659118917 · NPPES record last updated Jul 12, 2024

Key facts

NPI
1659118917
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
375 SE Broad St Ste a
Southern Pines, NC 28387-6000
Phone
(910) 725-0702
Fax
(910) 246-1601
NPI assigned
Jul 12, 2024
Sex
Female
Sole proprietor
No

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.

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
Effective Interventions Current
since Jul 21, 2024
Accepting new patients

Locations

1152 Executive Cir
Ste 101
Cary, NC 27511
Phone (901) 725-0702

375 SE Broad St
Ste A
Southern Pines, NC 28387
Phone (910) 725-0702

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

375 SE Broad St Ste a
Southern Pines, NC 28387-6000

Mailing address

375 SE Broad St Ste a
Southern Pines, NC 28387-6000
Phone (910) 725-0702

Other providers in Southern Pines, NC

All providers in Southern Pines, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.