Provider Demographics
NPI:1649576844
Name:FREIHAUT, COURTNEY RENEE (RBT)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:RENEE
Last Name:FREIHAUT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 CRAIG ST.
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250
Mailing Address - Country:US
Mailing Address - Phone:317-518-0410
Mailing Address - Fax:812-234-3918
Practice Address - Street 1:8350 CRAIG ST.
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250
Practice Address - Country:US
Practice Address - Phone:317-518-0410
Practice Address - Fax:812-234-3918
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
INRBT-22-244318106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator