Thalia Corrales Pino

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-120544 Issued in FL

Practice address

5962 Village Cir # 5962
Orlando, FL 32822-4130

Phone

(786) 303-6551

NPI assigned

Sep 1, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1952915696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 VILLAGE CIR # 5962",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224130",
            "telephone_number": "786-303-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 VILLAGE CIR # 5962",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224130",
            "telephone_number": "786-303-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES PINO",
        "first_name": "THALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-120544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106625800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ThaliaCorralesPino",
            "affiliation": "N",
            "address_1": "5962 Village Cir # 5962",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328224130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shirley Coronado, MA CCC-SLP
• Yadiraliz Coronado, APRN
• Alexa Coronel
• Gabriella Coronel, MSW, LCSW
• Elizabeth Paige Corp, CRNA
• Maria Gabriela Corrales-Yepez, MD
• Felipe A Correa Orozco, MD
• Maria Paulina Correa Pereira
• Margarita Correa-Perez
• Andres Correa-Vega

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.