Corey Scott, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000804 Issued in VA

Practice address

106 Faculty St
Blacksburg, VA 24060-7316

Phone

(980) 785-1113

Fax

(980) 785-1114

NPI assigned

Nov 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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 and National Provider Directory roles.

• Virginia Institute of Autism

  • Developmentally Disabled Services Day Training Agency
  • Charlottesville, VA
  • NPI 1326355751

  Behavior Analyst

  NPD (past)
• Mosaic Group, LLC

  dba Mosaic Pediatric Therapy

  • Behavior Analyst
  • Pineville, NC
  • NPI 1144682873
  NPD (past)

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1497128532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 LANCASTER DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608181",
            "telephone_number": "703-732-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FACULTY ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607316",
            "telephone_number": "980-785-1113",
            "fax_number": "980-785-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Remson Ct",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229013508",
            "country_code": "US",
            "telephone_number": "434-923-8252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "COREY",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000068",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST",
            "identifier": "0133000804",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-16-22719",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1825",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Michele Schindel
• Dennis C Schnecker, DMD
• Vincent Schneider, PT,DPT
• Robert B. Schopf, D.P.M.
• Angela Scott, LPC
• Kimberly Scott, LCSW
• Sherri Therese Scott, LCSW
• Kristin T Sears-Kopp, MA, CCC-SLP
• Holly Secrist
• Vivek Seelamneni, MD

• Behavior Analyst in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.