Corinne Elicia Bloom Williams

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2025-058 Issued in AL

Practice address

664 Powers Ave
Anniston, AL 36205-4419

Phone

(256) 847-5942

NPI assigned

Aug 8, 2018

Last updated

May 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Corinne Elicia Bloom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Early Autism Project, Inc.

  dba Surpass Behavioral Health

  • Behavior Analyst
  • Nashville, TN
  • NPI 1003156928
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1386123651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 POWERS AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054419",
            "telephone_number": "256-847-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 POWERS AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054419",
            "telephone_number": "256-847-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CORINNE",
        "middle_name": "ELICIA BLOOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2025-058",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "BLOOM",
            "middle_name": "ELICIA",
            "credential": "MS, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wilfredo Grana, M.D.,P.C.
• Wilhoite & Associates, P.C.
• Herbert Wilkerson
• William J. Fergson, Jr., MD PC
• Shane Clinton Williamon I, CRNP
• Evelyn Williams
• Gregory Lamar Williams, M.S.
• Hannah Elizabeth Williams
• Katherine Williams
• Melissa Ciantae Williams

• Behavior Analyst in Anniston, AL
• Providers in Anniston, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.