Corey Alan Beron, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-20-11409 Issued in IN

Practice address

2314 Miami St
South Bend, IN 46614-1336

Phone

(574) 329-6856

Fax

(574) 367-2922

NPI assigned

Mar 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Partnership for Behavior Change

  • Behavior Technician
  • South Bend, IN
  • NPI 1114302999

  Assistant Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1942904016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 MIAMI ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141336",
            "telephone_number": "574-329-6856",
            "fax_number": "574-367-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MIAMI ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141336",
            "telephone_number": "574-329-6856",
            "fax_number": "574-367-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERON",
        "first_name": "COREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "IN",
            "license": "0-20-11409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M Berger, BSN RN
• Troy Bergin, M.D.
• Andrew R Berkson, DO
• Matthew Joseph Bernard, DMD
• Harold E Bernt, LCSW
• David C Bertoncini, MD
• Anna C. Berzai, RD
• Scott Berzai
• Consolacion A Besario, RPT
• Jennifer N Besemer, RD, CDE

• Assistant Behavior Analyst in South Bend, IN
• Providers in South Bend, IN by specialty
• Assistant Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.