Individual
COURTNEY BRADLEY RYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
350 FAIRWAY DR, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Mailing address
205 BURLINGTON RD, BEDFORD, MA 01730-1406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
103K00000X
Behavior Analyst
Primary
2616
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
10/31/2017
Last updated
07/26/2023
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