Active NPI
Mariah Jeanne Corney
- Behavior Technician
- Tustin, CA
National Provider Identifier
1316406366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1405 Manchester Way
Tustin, CA 92782-1785 - Phone
- (949) 870-5767
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1405 Manchester Way
Tustin, CA 92782-1785
Mailing address
619 E Fern Dr
Fullerton, CA 92831-2706
Phone (714) 600-3521
Other practice location 1
619 E Fern Dr
Fullerton, CA 92831-2706
Phone (714) 600-3521
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1316406366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 E FERN DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928312706",
"telephone_number": "714-600-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MANCHESTER WAY",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821785",
"telephone_number": "949-870-5767"
}
],
"practiceLocations": [
{
"address_1": "619 E Fern Dr",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928312706",
"country_code": "US",
"telephone_number": "714-600-3521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNEY",
"first_name": "MARIAH",
"middle_name": "JEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.