Active NPI
Brittney Elizabeth Corley, RBT
- Behavior Technician
- Bloomington, IN
National Provider Identifier
1386470482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-9535-442273
- Practice address
- 1180 S Liberty Dr Ste 410
Bloomington, IN 47403-5178 - Phone
- (219) 510-2005
- NPI assigned
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | RBT-22-9535-442273 | IN | Primary |
Addresses
Primary practice location
1180 S Liberty Dr Ste 410
Bloomington, IN 47403-5178
Mailing address
601 Library Park Dr Ste a
Greenwood, IN 46142-1562
Phone (219) 510-2005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-9535-442273 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1386470482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 LIBRARY PARK DR STE A",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421562",
"telephone_number": "219-510-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 S LIBERTY DR STE 410",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035178",
"telephone_number": "219-510-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "BRITTNEY",
"middle_name": "ELIZABETH",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-22-9535-442273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.