Provider Demographics
NPI:1992914535
Name:FLEMING, COURTNEY (BCBA)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5943 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9205
Mailing Address - Country:US
Mailing Address - Phone:614-425-4107
Mailing Address - Fax:
Practice Address - Street 1:5943 HARLEM RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9205
Practice Address - Country:US
Practice Address - Phone:740-965-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1-12-9891OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD