Active NPI
Courtney Kidwell
- Behavior Analyst
- Prattville, AL
National Provider Identifier
1952067126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-21-191575
- Practice address
- 114 Medical Center Dr
Prattville, AL 36066-7286 - Phone
- (334) 491-3020
- Fax
- (334) 356-8050
- NPI assigned
- Nov 12, 2021
- Last updated
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-21-191575 | AL | Primary |
Addresses
Primary practice location
114 Medical Center Dr
Prattville, AL 36066-7286
Mailing address
114 Medical Center Dr
Prattville, AL 36066-7286
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-191575 | AL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1952067126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MEDICAL CENTER DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MEDICAL CENTER DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667286",
"telephone_number": "334-491-3020",
"fax_number": "334-356-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDWELL",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "RBT-21-191575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.