Active NPIIndividual provider

Mrs. Courtney L Gaudreau, MA, BCBA, LABA

Behavior Technician in Pocasset, Massachusetts

NPI Number1639630049
Practice location
4 Barlows Landing RD Ste 13, Pocasset, MA 02559
Fax
—
Last updated
July 20, 2022

Courtney Lee Gaudreau is a Behavior Technician based in Pocasset, MA. Courtney Lee Gaudreau practices in Pocasset, MA and has the professional credentials of MA, BCBA, LABA. The NPI Number for Courtney Lee Gaudreau is 1639630049. The current practice location address for Courtney Lee Gaudreau is 4 Barlows Landing RD Ste 13, Pocasset, MA 02559 and can be reached out via phone at 508-563-5767.

Provider Profile Details

NPI Number
1639630049
Provider Name
Courtney Lee Gaudreau
Credential
MA, BCBA, LABA
Provider Entity Type
Individual
Gender
Female
Address
4 Barlows Landing RD Ste 13, Pocasset, MA 02559
Phone Number
508-563-5767
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2019
Last Update Date
July 20, 2022
Certification Date
July 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Barlows Landing RD Ste 13
Pocasset, MA 02559
Zip
02559
Phone Number
508-563-5767
Pocasset, MA 02559Get directions →

Provider Business Mailing Address Details

Address
4 Barlows Landing RD Ste 13
Pocasset, MA 02559
City
Pocasset
State
MA
Zip
02559
Phone Number
508-563-5767

License Information

Taxonomy (1)
Behavior Technician · 106S00000X · Primary
License State (2)
MA
Taxonomy (2)
Behavior Analyst · 103K00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Courtney L Gaudreau, MA, BCBA, LABA?

The NPI number of Mrs. Courtney L Gaudreau, MA, BCBA, LABA is 1639630049. It was assigned on March 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Courtney L Gaudreau, MA, BCBA, LABA?

Mrs. Courtney L Gaudreau, MA, BCBA, LABA is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Mrs. Courtney L Gaudreau, MA, BCBA, LABA practice?

The practice location is 4 Barlows Landing RD Ste 13, Pocasset, MA 02559. The office can be reached at 508-563-5767 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639630049 directly on the NPPES registry website.

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