Provider Demographics
NPI:1407415516
Name:LIGGETT, COURTNEY ELIZABETH (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ELIZABETH
Last Name:LIGGETT
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:LIGGETT-SARNOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:285 WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-2216
Mailing Address - Country:US
Mailing Address - Phone:585-465-3779
Mailing Address - Fax:
Practice Address - Street 1:285 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2216
Practice Address - Country:US
Practice Address - Phone:585-465-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000081103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst