Individual provider Active NPI

Jawanda J. Corbin-Newsome, M.A.,BCBA, LBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1255527487
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1535 Issued in TX
Practice address
570 Heimer Rd
San Antonio, TX 78232-5160
Phone
(210) 885-3481
Fax
(210) 504-5084
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 1535 TX Primary

Addresses

Primary practice location

570 Heimer Rd
San Antonio, TX 78232-5160

Mailing address

570 Heimer Rd
San Antonio, TX 78232-5160
Phone (210) 885-3481

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jawanda Newsome ABA and Behavioral Services, LLC Behavior Analyst PastSince Jan 26, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1255527487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HEIMER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325160",
            "telephone_number": "210-885-3481",
            "fax_number": "210-504-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 HEIMER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325160",
            "telephone_number": "210-885-3481",
            "fax_number": "210-504-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN-NEWSOME",
        "first_name": "JAWANDA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.A.,BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.