Courtney Cancer

Individual provider Active NPI Behavior Technician · Gaffney, SC

NPI 1821723784 · NPPES record last updated Jul 22, 2022

Key facts

NPI
1821723784
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
401 Browning Rd
Gaffney, SC 29341-2177
Phone
(864) 839-7675
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

401 Browning Rd
Gaffney, SC 29341-2177

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727

Other providers in Gaffney, SC

All providers in Gaffney, SC · Behavior Technician in South Carolina

Sources for this page

Verify at the official NPI Registry.