Blackwell, Courtney

Blackwell, Courtney is an individual health care provider with primary practice located at 405 Bottesford Dr Nw , Kennesaw GA 30144-7133. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Blackwell, Courtney can be contacted via phone (770) 689-6364.

Contact Information

Primary practice address
405 Bottesford Dr Nw Kennesaw GA 30144-7133
Phone: (770) 689-6364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-114063
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-60408 Georgia

Profile Details

NPI number 1659905503
LBN Legal business name Blackwell, Courtney
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2020
Last updated Jul 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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