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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES CORUM, BCBA

Active Sole Proprietor

CHARLES CORUM, BCBA is a Behavior Analyst healthcare provider located in LYNN HAVEN, Florida. NPI 1033654504 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · LYNN HAVEN, FL

Registration Details

NPI Number
1033654504
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2016 (9.4716367931461 yrs)
Last Updated
Nov 16, 2023
Licenses
1-19-38776 (FL)
247200000X (FL)
1-19-38776
Sole Proprietor
Yes

Practice Information

Address
510 W 10TH ST
LYNN HAVEN, FL, 324442329
Browse FL providers · Browse ZIP 32444
Phone
5756496044
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Technician
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in LYNN HAVEN, FL

Name Credential NPI
MARC CHARLES GEHRKEN MS, BCBA 1700114956
AIMEE ROBERTS BCBA 1396133948
APRIL LAWHORN MS, BCBA 1306211867
SONYA WHITE 1346606902
MRS. KOLENE BARNES 1073971917
MRS. SOMMER LIVINGSTON RBT 1063869063
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.