Active NPI
Corina M Colon, BCBA
- Behavior Analyst
- La Crosse, WI
National Provider Identifier
1003316399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 218-140
- Practice address
- 901 Caledonia St
La Crosse, WI 54603-2616 - Phone
- (608) 785-4100
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 218-140 | WI | Primary |
Addresses
Primary practice location
901 Caledonia St
La Crosse, WI 54603-2616
Mailing address
S 3052 Bloomingdale Rd.
La Farge, WI 54639
Phone (262) 758-2827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1003316399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S 3052 BLOOMINGDALE RD.",
"city": "LA FARGE",
"state": "WI",
"postal_code": "54639",
"telephone_number": "262-758-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CALEDONIA ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546032616",
"telephone_number": "608-785-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "CORINA",
"middle_name": "M",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "218-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.