Corinne Elizabeth Siebott, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33545

Practice address

1180 S Liberty Dr Ste 410
Bloomington, IN 47403-5178

Phone

(812) 650-4432

Fax

(812) 650-4432

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Corinne Elizabeth Sevenish Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Collaborating for Kids, LLC

  • Clinical Psychologist
  • Greenwood, IN
  • NPI 1851626386
  NPD (past)
• Reach High Consulting and Therapy, LLC

  • Behavior Analyst
  • Bloomington, IN
  • NPI 1053629246
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1144784141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 N TRIPLE CROWN DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474048507",
            "telephone_number": "317-750-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 S LIBERTY DR STE 410",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035178",
            "telephone_number": "812-650-4432",
            "fax_number": "812-650-4432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Tapp Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033459",
            "country_code": "US",
            "telephone_number": "812-330-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Library Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461421567",
            "country_code": "US",
            "telephone_number": "317-881-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBOTT",
        "first_name": "CORINNE",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "SEVENISH",
            "middle_name": "ELIZABETH",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Sibrel, RBT
• Carol Michele Sidell, MSW, LCSW
• Dara Sides
• Yadwinder Sidhu, MD
• Casana Rae Siebert, MD
• Brooke Siedl
• Sandra Silva-Marin
• Carlos H Silva, MD
• Chelsea Silverman
• Eliza Silveus

• Behavior Analyst in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.