Male or Other

Cody S. Mccormick LPCC, BCBA

Behavioral Analyst in Bismarck, ND(View on Map)

Full Name

Cody Scott Mccormick LPCC, BCBA

NPI Number

1851826523

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2017

Specialties

(Taxonomies)

Code

103K00000X
101YM0800X
101YP2500X

Primary Taxonomy

Yes
No
No

Licenses

State

Minnesota
Nebraska
North Dakota

License Number

CC03306
11110
L108

Contact
Information

Purpose

Mailing
Location

Address

4530 NORTHERN SKY DR
4530 NORTHERN SKY DR

City

Bismarck
Bismarck

State

ND
ND

Postal Code

58503-8534
58503-8534

Country

US
US

Telephone Number

(701) 751-6336
(701) 751-6336

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/25/2022

Provider Address

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