Active NPI
Keyla Corro
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1730680174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59478
- Practice address
- 5616 Lone Star Pkwy Ste 101&102
San Antonio, TX 78253-2200 - Phone
- (210) 202-4800
- NPI assigned
- Feb 21, 2018
- 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 Analyst | 103K00000X | 1-22-59478 | TX | Primary |
Addresses
Primary practice location
5616 Lone Star Pkwy Ste 101&102
San Antonio, TX 78253-2200
Mailing address
1024 W Woodlawn Ave Apt 6
San Antonio, TX 78201-5890
Phone (956) 844-3620
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vocational Development Group, LLC | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Davie, FL
- NPI 1811352099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1730680174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 W WOODLAWN AVE APT 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015890",
"telephone_number": "956-844-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5616 LONE STAR PKWY STE 101&102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782532200",
"telephone_number": "210-202-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRO",
"first_name": "KEYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-22-59478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.