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NPI Code Detail

MEDICARE: COURTNEY NICHOLE WARD RBT

MEDICARE:   COURTNEY NICHOLE WARD  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1538942180
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY NICHOLE WARD RBT
Provider Business Mailing Address
First Line : 1939 BLAKE LN
Second Line :
City : VALLEY SPRINGS
State : CA
Zip : 95252-9455
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1939 BLAKE LN
Second Line :
City : VALLEY SPRINGS
State : CA
Zip : 95252-9455
Country : US
Telephone Number : 209-204-7150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ COURTNEY NICHOLE WARD RBT” Practice Location

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