Michael William Corbett, BCBA
Individual provider Active NPI Behavior Analyst · Exeter, PA
NPI 1275966954 · NPPES record last updated Aug 16, 2013
Key facts
- NPI
- 1275966954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-13-14034 (PA)
- Practice address
- 114 Aster CT
Exeter, PA 18643-1145 - Phone
- (570) 479-9757
- NPI assigned
- Aug 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14034 | PA | Yes |
Addresses
Primary practice location
114 Aster CT
Exeter, PA 18643-1145
Mailing address
114 Aster CT
Exeter, PA 18643-1145
Phone (570) 479-9757
Other providers in Exeter, PA
- Anthony M. Baloga
- Arika Bartusek
- Lori Chromey
- Ashley Ciavarella
- Community Living Services
- Ryan Shane Dambach
- Jennifer Dominick
- Esposito'S Inc.
- Christopher Michael Evans
- Valerie A Evans
All providers in Exeter, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.