Core Therapy & Diagnostics, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CORE THERAPY & DIAGNOSTICS, LLC

Practice address

186 S Payne Stewart Dr Ste 151
Branson, MO 65616-2792

Phone

(417) 391-3065

NPI assigned

Aug 19, 2020

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Deronde

Title

Manager

Phone

(417) 319-3065

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett L Drone

  • Behavior Technician
  • Branson, MO
  • NPI 1538833934
  NPD
• Angela Bonavita, MS, BCBA

  • Behavior Analyst
  • Red Bank, NJ
  • NPI 1982296745
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1316559594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S PAYNE STEWART DR STE 151",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S PAYNE STEWART DR STE 151",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162792",
            "telephone_number": "417-391-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE THERAPY & DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "DERONDE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-319-3065"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Collins, MD, PHD
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• Community Hospices of America, LLC (Hospice Compassus - Tri Lakes Missouri)
• Angela Conklin, DO
• Diane Lynn Cornelison, DO
• Katie Cosper
• Martha Lorraine Courdin-Whitson
• McKenna Christine Cowart, FNP
• Cox Health

• Behavior Analyst in Branson, MO
• Providers in Branson, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.