Corey Chin

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-8156 Issued in NU

Practice address

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292

Phone

(850) 544-9550

NPI assigned

Apr 8, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891159588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW STE 2200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031292",
            "telephone_number": "850-544-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Brookshire Ct",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327086304",
            "country_code": "US",
            "telephone_number": "850-544-9550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Brookshire Ct",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327086304",
            "country_code": "US",
            "telephone_number": "850-544-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "COREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": "C500-113-91-251-0",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": "0-17-8156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Chiller
• Ishan Ravi Chillikatil
• Jennifer S Chimento, FNP-C
• David Steve Chin Yee, MD
• Ava Marie Chin-Edwards, FNP-C
• Jean Y. Chin, M.D.
• Kingsley N Chin, MD
• Nicola C Chin, MD
• Suzette Chin, MD
• Krizia Chinchilla Cartin, PA-C

• Assistant Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Assistant Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.