Courtney Nichole Lark, BCBA
Behavior Analyst in Smyrna, GA. Individual provider (NPI-1).
NPI number1699313619
StatusActive
Last updated in NPPESJun 22, 2020
Details
- NPI
- 1699313619
- Entity type
- Individual (NPI-1)
- Name
- Courtney Nichole Lark
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2019
- Certification date
- Jun 22, 2020
- Last updated
- Jun 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-20-42409 | GA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1155 Concord Rd Se Ste 220Smyrna, GA 30080-4234
Phone 888-509-6368
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Other practice locations
1549 Clairmont Rd Ste 103
Decatur, GA 30033-4635
Decatur, GA 30033-4635
Phone 404-480-3842
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All 23 Behavior Analyst providers in Smyrna · All 1,864 providers in Smyrna
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