Courtney Nichole Lark, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42409 Issued in GA

Practice address

1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4234

Phone

(888) 509-6368

NPI assigned

Dec 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1699313619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CONCORD RD SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804234",
            "telephone_number": "888-509-6368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Clairmont Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300334635",
            "country_code": "US",
            "telephone_number": "404-480-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARK",
        "first_name": "COURTNEY",
        "middle_name": "NICHOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-20-42409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chetna Landge
• Brittany Leigh Landon
• Jana Alexandria Lane, PT, DPT
• Kiera Lane, LAT, ATC
• Cheryel D Langford, LCSW
• Susan Lasher, MSW, LCSW, LMFT
• Emily Privette Lawery, LPC
• Laye Consulting LLC
• Courtney Laye
• Leigh Ann Layman, RPH

• All providers in Smyrna, GA
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.