Active NPI
Megan Corbridge, BCBA, LBA
- Behavior Analyst
- Johnston, IA
National Provider Identifier
1649703489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 105801
- Practice address
- 8835 Northpark CT
Johnston, IA 50131-3018 - Phone
- (770) 513-2729
- NPI assigned
- Apr 8, 2017
- Last updated
- Apr 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Behavior Analyst | 103K00000X | 105801 | IA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
8835 Northpark CT
Johnston, IA 50131-3018
Mailing address
6871 Jack London Dr
Johnston, IA 50131-4755
Other names 1
- Megan Blount
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 |
|---|---|---|---|
| 105801 | IA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stride Autism Centers, P.C. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Des Moines, IA
- NPI 1023630340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1649703489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6871 JACK LONDON DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501314755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 NORTHPARK CT",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501313018",
"telephone_number": "770-513-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBRIDGE",
"first_name": "MEGAN",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-08",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IA",
"license": "105801",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "BLOUNT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.