Provider Demographics
NPI:1457859019
Name:HELSEL, CORTNEY LEIGH (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:LEIGH
Last Name:HELSEL
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 FISHING CREEK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9234
Mailing Address - Country:US
Mailing Address - Phone:717-307-8397
Mailing Address - Fax:
Practice Address - Street 1:1111 FISHING CREEK VALLEY RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9234
Practice Address - Country:US
Practice Address - Phone:717-307-8397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
1-18-29998103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor