Brigitte Coronado, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-001568 Issued in AZ

Practice address

6859 E Rembrandt Ave Ste 101
Mesa, AZ 85212-3629

Phone

(480) 389-4516

NPI assigned

Dec 4, 2024

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

• Brigitte Bontems Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Advanced Autism Center for Treatment LLC

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1811453434
  NPD (past)

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1285440495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W STAR CT",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851441589",
            "telephone_number": "602-810-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123629",
            "telephone_number": "480-389-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "BRIGITTE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGITTE",
            "last_name": "BONTEMS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cornerstone Wellness Center LLC
• Kayla M Cornett
• Logan Cornwell, DDS
• Michelle Marie Cornwell, PT
• Bianca Louise Corona
• Kirstin Anna Correia, N.D.
• Susan Rose Cortesi, M.D.
• Amber Renee Cortez
• Annalisa Cortez, DAC
• Ruth Cortez, MS-CCC, SLP

• Behavior Analyst in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.