COURTNEY KELLY
NPI 1124694948
Behavior Technician in Fayetteville, NC

Active since June 02, 2021
2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 28303(910) 484-1711 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2021, Jun 2, 2021 (2 updates tracked since 2021).

About Courtney Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY KELLY (NPI 1124694948) is an individual behavior technician in Fayetteville, North Carolina, licensed in North Carolina (RBT-19-96810) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1124694948
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameCOURTNEY KELLY
Location Address2919 BREEZEWOOD AVE STE 101Fayetteville, NC 28303-5283
Mailing Address2919 Breezewood Ave Ste 101Fayetteville, NC 28303-5283 · (910) 484-1711
Sole ProprietorYes
Enumeration DateJune 2, 2021
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1124694948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in NC · RBT-19-96810
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

2919 BREEZEWOOD AVE STE 101, Fayetteville, NC 28303

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Occupational Therapist
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Behavior Analyst
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Speech-Language Pathologist
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Occupational Therapist
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Behavior Analyst
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Behavior Analyst
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Behavior Analyst
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124694948, enumerated as an "individual" on June 02, 2021.

The provider is located at 2919 BREEZEWOOD AVE STE 101 FAYETTEVILLE, NC 28303 and the phone number is (910) 484-1711.

Behavior Technician with taxonomy code 106S00000X.