Individual
COURTNEY MACCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8751 SUDLEY RD FL 1, MANASSAS, VA 20110-8319
(571) 578-0078
Mailing address
PO BOX 360595, PITTSBURGH, PA 15251-6595
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004122
VA
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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