Charles Corum, BCBA

Behavior Analyst · Lynn Haven, FL

Individual Active NPI

NPI number 1033654504

Practice location

510 W 10TH St
Lynn Haven, FL 32444-2329
Phone
(575) 649-6044

Open in Google Maps

NPI record

NPI
1033654504
Entity type
Individual (Type 1)
Enumeration date
December 19, 2016
Last updated
November 16, 2023
Certified
August 11, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-19-38776 —
Behavior Analyst 103K00000X 1-19-38776 FL
Behavior Technician 106S00000X 247200000X FL

Mailing address

6926 Pittsburgh St
Panama City, FL 32404
Phone
(575) 649-6044

About Charles Corum

Charles Corum, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 510 W 10TH St, Lynn Haven, FL 32444-2329. The NPI number 1033654504 was assigned on December 19, 2016 and the record was last updated on November 16, 2023.

Charles Corum lists 3 licenses in the registry: #1-19-38776 for Behavior Analyst; #1-19-38776 (FL) for Behavior Analyst; #247200000X (FL) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Corum, BCBA?

The NPI number is 1033654504.

What is the phone number of Charles Corum?

The phone number listed for the practice location is (575) 649-6044.

Where is Charles Corum located?

510 W 10TH St, Lynn Haven, FL 32444-2329.

What is the taxonomy code for Charles Corum?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Lynn Haven

All Behavior Analyst providers in Lynn Haven, FL →