Provider Demographics
NPI:1942861729
Name:COURTOIS, ANNA T (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:T
Last Name:COURTOIS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:C
Other - Last Name:CRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA
Mailing Address - Street 1:1 FEDERAL ST BLDG 101
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-1222
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 FEDERAL ST BLDG 101
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1222
Practice Address - Country:US
Practice Address - Phone:508-808-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst