Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Kourtney Sweeney
City Fresno                     | 
Group HEALTH NET DIRECT FFS MEDI-CAL                                                                        | 
Specialty Qualified Autism Svc Provider                       | 
Last Name Sweeney                                                             | 
First Name Kourtney                                            | 
Address 5140 N Fruit Ave                          | 
State CA  | 
Zip Code 93711      | 
Phone (877)242-2884   | 
Hours Mon - Fri 8:30 AM - 6:30 PM                                                                                               | 
Title M.A.     | 
Physician ID   914309         | 
Section Number A  | 
County FRESNO  | 
Accepting New Patient Yes  | 
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL                                          | 
PPG ID MHDML  | 
NPI Number   1053977116   | 
License ID BCB31462            | 
Email credentialing@bia4autism.org                                  | 
Board Certified No  | 


