Corinna Edgington, RBT

Individual provider Active NPI Behavior Technician · Willow Park, TX

NPI 1033828397 · NPPES record last updated Nov 15, 2022

Key facts

NPI
1033828397
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-237051 (TX)
Practice address
161 JD Towles Dr
Willow Park, TX 76087-8654
Phone
(682) 900-1444
Fax
(682) 900-1444
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-22-237051TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavior Centers LLC Behavior Technician Current
since Nov 20, 2022
Accepting new patients

Locations

161 Jd Towles Dr
Willow Park, TX 76087

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-237051 TX Yes

Addresses

Primary practice location

161 JD Towles Dr
Willow Park, TX 76087-8654

Mailing address

161 JD Towles Dr
Willow Park, TX 76087-8654
Phone (682) 900-1444

Other providers in Willow Park, TX

All providers in Willow Park, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.