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NPI Code Detail

MEDICARE: COURTNEY MCINTYRE

MEDICARE: COURTNEY MCINTYRE
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 : 1972011948
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MCINTYRE
Provider Business Mailing Address
First Line : 2973 HARBOR BLVD # 136
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-3912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17911 SKY PARK CIR STE E
Second Line :
City : IRVINE
State : CA
Zip : 92614-4303
Country : US
Telephone Number : 949-202-0257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 03/03/2026

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Directions to “ COURTNEY MCINTYRE ” Practice Location

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