Provider Demographics
NPI:1437975158
Name:O'DONNELL-COURTNEY, KATHLEEN N (BCBA, LBS)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:N
Last Name:O'DONNELL-COURTNEY
Suffix:
Gender:F
Credentials:BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BLAKE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:PA
Mailing Address - Zip Code:19046-4211
Mailing Address - Country:US
Mailing Address - Phone:215-663-1575
Mailing Address - Fax:
Practice Address - Street 1:7002 W BUTLER PIKE # 1
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5107
Practice Address - Country:US
Practice Address - Phone:215-850-6348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH007484103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst