Courtney Kathleen Nissley, M.ED, BCBA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH005034 Issued in PA

Practice address

7540 Allentown Blvd Ste 5
Harrisburg, PA 17112-4238

Phone

(717) 649-6085

NPI assigned

Aug 6, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1780294512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 KELLY AVE",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529018",
            "telephone_number": "717-203-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 ALLENTOWN BLVD STE 5",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124238",
            "telephone_number": "717-649-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSLEY",
        "first_name": "COURTNEY",
        "middle_name": "KATHLEEN",
        "credential": "M.ED, BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nightingale Health & Wellness Services
• Nines Radiology PA PC
• Aakriti Niroula
• Abdul Rafeh Nisar, DO
• Amy J Nissley, PA-C
• Lance Nissley, DO
• Matthew Nistor
• Nita Rastogi Family Internal Medicine
• Ruth Njuguna
• Mary Ngaleu Nkamany, M.D.

• Behavior Analyst in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.