Active NPIIndividual provider

Cory Mitchell, BCBA

Behavior Analyst in Hingham, Massachusetts

NPI Number1134598519
Practice location
105 Hms Stayner Dr, Hingham, MA 02043-1664
Fax
781-385-7324
Last updated
August 30, 2021

Cory Mitchell is a Behavior Analyst based in Hingham, MA. Cory Mitchell practices in Hingham, MA and has the professional credentials of BCBA. The NPI Number for Cory Mitchell is 1134598519 and holds a License No. 3649 (MA). The current practice location address for Cory Mitchell is 105 Hms Stayner Dr, Hingham, MA 02043-1664 and can be reached out via phone at 617-957-6451 and via fax at 781-385-7324.

Provider Profile Details

NPI Number
1134598519
Provider Name
Cory Mitchell
Credential
BCBA
Provider Entity Type
Individual
Gender
Male
Address
105 Hms Stayner Dr, Hingham, MA 02043-1664
Phone Number
617-957-6451
Fax Number
781-385-7324
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2015
Last Update Date
August 30, 2021
Certification Date
August 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Hms Stayner Dr
Hingham, MA 02043-1664
Zip
02043-1664
Phone Number
617-957-6451
Fax Number
781-385-7324
Hingham, MA 02043Get directions →

Provider Business Mailing Address Details

Address
105 Hms Stayner Dr
Hingham, MA 02043-1664
City
Hingham
State
MA
Zip
02043-1664
Phone Number
978-953-9200
Fax Number
800-928-1315

License Information

Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
3649
License State (2)
MA
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cory Mitchell, BCBA?

The NPI number of Cory Mitchell, BCBA is 1134598519. It was assigned on September 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Cory Mitchell, BCBA?

Cory Mitchell, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 3649.

Where does Cory Mitchell, BCBA practice?

The practice location is 105 Hms Stayner Dr, Hingham, MA 02043-1664. The office can be reached at 617-957-6451 (phone) or 781-385-7324 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134598519 directly on the NPPES registry website.

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