Courtney Keene

Individual provider Active NPI Behavior Analyst · Sneads Ferry, NC

NPI 1962072298 · NPPES record last updated May 16, 2023

Key facts

NPI
1962072298
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-23-65606 (NC)
Practice address
415 Wind Sail CT
Sneads Ferry, NC 28460-8015
Phone
(919) 631-9769
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Priorities ABA, PLLC Behavior Analyst Past
since Jul 1, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-23-65606 NC Yes

Addresses

Primary practice location

415 Wind Sail CT
Sneads Ferry, NC 28460-8015

Mailing address

415 Wind Sail CT
Sneads Ferry, NC 28460-8015
Phone (919) 631-9769

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Behavior Analyst in North Carolina

Sources for this page

Verify at the official NPI Registry.