Active NPI
Paulina Amanda Corrales, M.ED
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1033725767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44239
- Practice address
- 5050 Murphy Canyon Rd Ste 150
San Diego, CA 92123-4399 - Phone
- (619) 330-5982
- NPI assigned
- Sep 17, 2020
- 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 | 1-20-44239 | CA | Primary |
Addresses
Primary practice location
5050 Murphy Canyon Rd Ste 150
San Diego, CA 92123-4399
Mailing address
776 3Rd Ave Apt 27
Chula Vista, CA 91910-5846
Phone (619) 616-8865
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1033725767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "776 3RD AVE APT 27",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105846",
"telephone_number": "619-616-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 MURPHY CANYON RD STE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234399",
"telephone_number": "619-330-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRALES",
"first_name": "PAULINA",
"middle_name": "AMANDA",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-20-44239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.