Corine Chiemi Gushikuma, MSW, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61033085 Issued in WA

Practice address

3111 Broad St
Bellingham, WA 98225-8342

Phone

(808) 781-0652

NPI assigned

Dec 10, 2018

Last updated

Mar 13, 2020By the provider in NPPES

Sex

Female

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1962973388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081428",
            "telephone_number": "808-781-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 BROAD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258342",
            "telephone_number": "808-781-0652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2168 D Maha Pl.",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968199681",
            "country_code": "US",
            "telephone_number": "808-781-0652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSHIKUMA",
        "first_name": "CORINE",
        "middle_name": "CHIEMI",
        "credential": "MSW, M.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61033085",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandis L Gunderson, PT
• Jessica Lynn Gunnoe, MASSAGE THERAPIST
• Joanna Guo
• William H. Gurdin, M.D.,F.A.C.C.
• Gus Communications, Inc.
• Kerry N. Gustafson, LMP, ATC, AT/L
• Kendal Alexis Gutierrez, RD
• Mary Gutierrez, MSW, LICSW
• Susan Guttzeit, LMP
• Diana Guza-Wells, M.D.

• Behavior Analyst in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.