Individual provider Active NPI

Cora Knurek-Hogan, BCBA

  • Behavior Analyst
  • Springfield, MA
National Provider Identifier
1134579543
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3715 Issued in MA
Practice address
100 Canterbury Rd Ste 13
Springfield, MA 01118-2356
Phone
(413) 351-6884
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3715 MA Primary

Addresses

Primary practice location

100 Canterbury Rd Ste 13
Springfield, MA 01118-2356

Mailing address

100 Canterbury Rd Ste 13
Springfield, MA 01118-2356
Phone (413) 351-6884

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1134579543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANTERBURY RD STE 13",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182356",
            "telephone_number": "413-351-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANTERBURY RD STE 13",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182356",
            "telephone_number": "413-351-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUREK-HOGAN",
        "first_name": "CORA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.