Corinne Marie Scanlon, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH006895 Issued in PA

Practice address

71 N Pioneer Ave
Shavertown, PA 18708-1322

Phone

(570) 574-8069

NPI assigned

Jan 20, 2025

Last updated

Feb 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Exceptional Needs Advocacy and Behavioral Consulting, LLC

  • Behavior Analyst
  • Shavertown, PA
  • NPI 1750295937
  NPD (past) Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1952113797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N PIONEER AVE",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081322",
            "telephone_number": "570-574-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 N PIONEER AVE",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081322",
            "telephone_number": "570-574-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "CORINNE",
        "middle_name": "MARIE",
        "credential": "LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH006895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Anesthesia Providers, PC
• Professional Anesthesia Providers, PC
• Harry Reich, M.D.
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 02568)
• Brittany Marie Rusczyk, D.C.
• Gregory Johnston Shannon, LPC
• Tae I Shynn, MD
• Michael John Slavoski, RPH
• Mitchell Alan Smolow, D.M.D.
• Tara Cecelia Stephens, PA-C

• Behavior Analyst in Shavertown, PA
• Providers in Shavertown, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.