Individual provider Active NPI

Courtney Marie Schietinger, BCBA

  • Behavior Analyst
  • Sterling, VA
National Provider Identifier
1689289332
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
01330001787 Issued in VA
Practice address
22375 Broderick Dr Ste 125
Sterling, VA 20166-9345
Phone
(703) 492-2686
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 01330001787 VA Primary

Addresses

Primary practice location

22375 Broderick Dr Ste 125
Sterling, VA 20166-9345

Mailing address

19260 Springs Rd
Jeffersonton, VA 22724-1924
Phone (540) 729-5937

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

State licenses

LicenseStateTypeSpecialty
01330001787VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beachn Behavior LLC Behavior Analyst Current Accepting new patients
Therapeutic Alliance LLC PastSince Sep 13, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1689289332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SPRINGS RD",
            "city": "JEFFERSONTON",
            "state": "VA",
            "postal_code": "227241924",
            "telephone_number": "540-729-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22375 BRODERICK DR STE 125",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201669345",
            "telephone_number": "703-492-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIETINGER",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "01330001787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.