Provider Demographics
NPI:1649558099
Name:SEMENUK - SCHINBECKLER, COURTENEY R (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:COURTENEY
Middle Name:R
Last Name:SEMENUK - SCHINBECKLER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:COURTENEY
Other - Middle Name:R
Other - Last Name:SCHINBECKLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:1848 N. 52ND STREET
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008
Mailing Address - Country:US
Mailing Address - Phone:480-902-0771
Mailing Address - Fax:480-967-0804
Practice Address - Street 1:1848 N. 52ND STREET
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008
Practice Address - Country:US
Practice Address - Phone:480-902-0771
Practice Address - Fax:480-967-0804
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst