Provider Demographics
NPI:1306509708
Name:BATTLES, KORTNEY (HS)
Entity type:Individual
Prefix:
First Name:KORTNEY
Middle Name:
Last Name:BATTLES
Suffix:
Gender:F
Credentials:HS
Other - Prefix:
Other - First Name:KORTNEY
Other - Middle Name:
Other - Last Name:ALBRITTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HS
Mailing Address - Street 1:1055 E COLORADO BLVD STE 560
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2380
Mailing Address - Country:US
Mailing Address - Phone:818-241-6780
Mailing Address - Fax:
Practice Address - Street 1:THE OLD ROAD
Practice Address - Street 2:SUITE 142A
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91381
Practice Address - Country:US
Practice Address - Phone:818-241-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst