Provider Demographics
NPI:1003040684
Name:STEWART, COURTNEY CAGLE (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:CAGLE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:NICOLE
Other - Last Name:CAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:218 MEADOW CROFT CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2956
Mailing Address - Country:US
Mailing Address - Phone:205-563-2684
Mailing Address - Fax:205-980-2972
Practice Address - Street 1:218 MEADOW CROFT CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2956
Practice Address - Country:US
Practice Address - Phone:205-563-2684
Practice Address - Fax:205-980-2972
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst