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Individual

COURTNEY BITTING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, BCBA

Contact information

Practice address
329 E 149TH ST, 4TH FLOOR, BRONX, NY 10451-5601
(718) 769-2698
(718) 401-0108
Mailing address
2821 48TH ST, APT #2, ASTORIA, NY 11103-1239
(412) 916-0675

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1107160

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12265690
CAQH
Enumeration date
05/23/2011
Last updated
10/20/2014
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