Corridor Pediatric Therapies, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CORRIDOR PEDIATRIC THERAPIES, LLC

Practice address

528 Bluestem St
Tiffin, IA 52340-5200

Phone

(319) 430-8232

NPI assigned

Nov 7, 2026

Last updated

Nov 7, 2026By 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

Jenny Lynn Davis, BCBA, LBA

Title

Owner

Phone

(319) 430-8232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1794009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1794009600000",
    "number": "1386544906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BLUESTEM ST",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523405200",
            "telephone_number": "319-430-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 BLUESTEM ST",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523405200",
            "telephone_number": "319-430-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-07",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-430-8232",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Beckler
• Gabi B Bulbula
• Jon Burzacott
• CCRC of Tiffin, LLC (Clear Creek Village)
• Samantha Chyko
• Angela Marie Dunn, D.C.
• Jodeen Francis, ADULT ARNP
• Daniel Phillip Goldsmith, DDS
• Keilyn Michelle Hahn
• Kelsey Kay Hall

• Behavior Analyst in Tiffin, IA
• Providers in Tiffin, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.