Muckle, Courtney Renae Elyse

Muckle, Courtney Renae Elyse is an individual health care provider with primary practice located at 296 Merchants Sq , Dallas GA 30132-5029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Muckle, Courtney Renae Elyse can be contacted via phone (470) 391-2300.

Contact Information

Primary practice address
296 Merchants Sq Dallas GA 30132-5029
Phone: (470) 391-2300
Fax: (470) 592-6581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-23-14574 Georgia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-97737 Georgia

Profile Details

NPI number 1659997088
LBN Legal business name Muckle, Courtney Renae Elyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated Jul 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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