Dolores Valli Corbin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

20-144655 Issued in FL

Practice address

1691 Main St Ste 2
Chipley, FL 32428-6959

Phone

(850) 272-6879

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

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

• Dolores Moreno Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1225798499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 MAIN ST STE 2",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286959",
            "telephone_number": "850-272-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 MAIN ST STE 2",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286959",
            "telephone_number": "850-272-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "DOLORES",
        "middle_name": "VALLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-144655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "MORENO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chipley Physical Therapy Inc
• James Allen Clemmons, M.D.
• Misty Colston, RBT
• Nancy Amanda Cook
• Shauni Cooley, DMD
• Wendy M Corbin, ARNP-C
• Rizza Liza Alcantara Cordero
• Nancy Cota, LPN
• William Edwin Cox III, DDS
• CRNC, LLC (Washington Rehabilitation and Nursing Center)

• Behavior Technician in Chipley, FL
• Providers in Chipley, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.