Active NPI
Nicole Mary Corson
- Behavior Technician
- Deerfield Beach, FL
National Provider Identifier
1639047533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- No
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 | MA | Primary |
Addresses
Primary practice location
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Mailing address
56 Jennings St
Lawrence, MA 01841-3221
Phone (617) 413-0052
Other practice location 1
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Phone (877) 418-2978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1639047533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 JENNINGS ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018413221",
"telephone_number": "617-413-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411834",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [
{
"address_1": "225 Cedar Hill St Ste 200",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "017525900",
"country_code": "US",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORSON",
"first_name": "NICOLE",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.