Courtney Rene Ingram
NPI #1154829646 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1154829646
- Entity Type
- Individual
- Name
- Courtney Rene Ingram
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 30, 2018
- Last Updated
- Jan 30, 2018
Practice Location
- Address
- 2525 LADD ST
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-5308
- Phone
- (210) 538-5292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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