Active NPI
Kendra Corzo
- Behavior Analyst
- Lutz, FL
National Provider Identifier
1710496005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 17815 Hunting Bow Cir
Lutz, FL 33558-5401 - Phone
- (813) 491-4425
- NPI assigned
- Sep 29, 2017
- Last updated
- Sep 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-17-40612 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
17815 Hunting Bow Cir
Lutz, FL 33558-5401
Mailing address
6217 Paddock Glen Dr Unit 112
Tampa, FL 33634-5358
Phone (301) 875-3976
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 |
|---|---|---|---|
| RBT-17-40612 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1710496005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6217 PADDOCK GLEN DR UNIT 112",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345358",
"telephone_number": "301-875-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17815 HUNTING BOW CIR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585401",
"telephone_number": "813-491-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORZO",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-29",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-17-40612",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.