Courtney Quinney
Individual provider Active NPI Behavior Technician · Adairsville, GA
NPI 1861175754 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1861175754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB772434 (GA)
- Practice address
- 14 Pavilion CT
Adairsville, GA 30103-2615 - Phone
- (678) 767-9832
- NPI assigned
- Aug 8, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB772434 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB772434 | GA | Yes |
Addresses
Primary practice location
14 Pavilion CT
Adairsville, GA 30103-2615
Mailing address
14 Pavilion CT
Adairsville, GA 30103-2615
Other providers in Adairsville, GA
- Alison Nicole Petty
- Destiny Phillips
- Garrett Edmond Post III
- Premise Health of Georgia Medical PC
- Jonathan Andrew Purser
- Hope Sampson
- Sally Jo Sanford
- Cody Ryan Scoggins
- Deann Shelley
- Southern Smile Dental LLC
All providers in Adairsville, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.