Individual provider Active NPI

Brittany Corbo, BCBA

  • Behavior Analyst
  • Long Branch, NJ
National Provider Identifier
1265993836
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35281
Practice address
385 Ocean Blvd Apt 6K
Long Branch, NJ 07740-5748
Phone
(862) 684-9272
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 1-19-35281 Primary

Addresses

Primary practice location

385 Ocean Blvd Apt 6K
Long Branch, NJ 07740-5748

Mailing address

385 Ocean Blvd Apt 6K
Long Branch, NJ 07740-5748
Phone (862) 684-9272

Other practice location 1

150 Airport Rd Ste 1800
Lakewood, NJ 08701-7035
Phone (732) 523-1245

Other practice location 2

35 Beaverson Blvd Ste 11
Brick, NJ 08723-7869
Phone (732) 262-8020

Other identifiers 1

IdentifierTypeStateIssuer
1-19-35281OtherBCBA ID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bcorbo@familyresourcenetwork.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step ABA Services Corp Behavior Analyst Past Accepting new patients
Fly Wheel Centers LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1265993836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 OCEAN BLVD APT 6K",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405748",
            "telephone_number": "862-684-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 OCEAN BLVD APT 6K",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405748",
            "telephone_number": "862-684-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Airport Rd Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087017035",
            "country_code": "US",
            "telephone_number": "732-523-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Beaverson Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087237869",
            "country_code": "US",
            "telephone_number": "732-262-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBO",
        "first_name": "BRITTANY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-35281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA ID",
            "identifier": "1-19-35281",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bcorbo@familyresourcenetwork.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "35 Beaverson Blvd Ste 11",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087237869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.