Corrie Redfearn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16073 Issued in NJ

Practice address

303 Fellowship Rd
Suite 203
Mount Laurel, NJ 08054-1212

Phone

(856) 780-1090

NPI assigned

Jan 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freedom Home Healthcare, Inc.

  dba Aveanna Healthcare

  • Home Health Agency
  • Mount Laurel, NJ
  • NPI 1477953602
  NPD (past)

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1396134110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LANCASTER DR",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080602452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FELLOWSHIP RD",
            "address_2": "SUITE 203",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541212",
            "telephone_number": "856-780-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "CORRIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-14-16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapid Response Healthcare Services, LLC
• Shraddha Rayamajhi, MD
• Reach Wellness
• Annette C Reboli, M.D.
• Sharay Redden, APRN
• Regional Ear Nose and Throat Associates
• Regional Primary Care and Acupuncture
• Regional Women's Health Group, LLC (Cherry Hill Gynecology Asso)
• Regional Womens Health Group LLC (RWHG Richard Tucker DO)
• Patrick Rehder

• Behavior Analyst in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.