Provider Demographics
NPI:1033488549
Name:PADELSKY, COURTNEY (MPM, BCABA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:PADELSKY
Suffix:
Gender:F
Credentials:MPM, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 S VICTOR WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2487
Mailing Address - Country:US
Mailing Address - Phone:904-465-5335
Mailing Address - Fax:
Practice Address - Street 1:480 S VICTOR WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2487
Practice Address - Country:US
Practice Address - Phone:904-465-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No174400000XOther Service ProvidersSpecialist