Provider Demographics
NPI:1598111932
Name:FERRANTE, COURTNEY (BCBA, LABA, MED)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:FERRANTE
Suffix:
Gender:F
Credentials:BCBA, LABA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WESTFORD RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1517
Mailing Address - Country:US
Mailing Address - Phone:978-580-4151
Mailing Address - Fax:
Practice Address - Street 1:100 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5227
Practice Address - Country:US
Practice Address - Phone:978-580-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA688103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst