Provider Demographics
NPI:1497334759
Name:HATCHER, COURTNAY R (LBA, BCBA)
Entity Type:Individual
Prefix:
First Name:COURTNAY
Middle Name:R
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7416 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7411
Mailing Address - Country:US
Mailing Address - Phone:410-530-6217
Mailing Address - Fax:
Practice Address - Street 1:7416 CENTRE ST
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7411
Practice Address - Country:US
Practice Address - Phone:410-530-6217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA953103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst