Corissa Gidula, MA, BCBA
Counselor, Mental Health in Manahawkin, New Jersey
1821455692- Practice location
- 848 Buccaneer Ln, Manahawkin, NJ 08050-2112
- Phone
- 484-258-6050
- Fax
- —
- Last updated
- February 28, 2023
Corissa Gidula is a Counselor, Mental Health based in Manahawkin, NJ. Corissa Gidula practices in Manahawkin, NJ and has the professional credentials of MA, BCBA. The NPI Number for Corissa Gidula is 1821455692 and holds a License No. 1-22-59762 (NJ). The current practice location address for Corissa Gidula is 848 Buccaneer Ln, Manahawkin, NJ 08050-2112 and can be reached out via phone at 484-258-6050.
Provider Profile Details
- NPI Number
- 1821455692
- Provider Name
- Corissa Gidula
- Credential
- MA, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 848 Buccaneer Ln, Manahawkin, NJ 08050-2112
- Phone Number
- 484-258-6050
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 25, 2016
- Last Update Date
- February 28, 2023
- Certification Date
- July 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 848 Buccaneer Ln
Manahawkin, NJ 08050-2112 - City
- Manahawkin
- State
- New Jersey
- Zip
- 08050-2112
- Phone Number
- 484-258-6050
Provider Business Mailing Address Details
- Address
- 848 Buccaneer Ln
Manahawkin, NJ 08050-2112 - City
- Manahawkin
- State
- NJ
- Zip
- 08050-2112
- Phone Number
- 484-258-6050
License Information
- License Number (1)
- 1-22-59762
- License State (1)
- NJ
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- APC004512
- License State (2)
- GA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Corissa Gidula, MA, BCBA?
The NPI number of Corissa Gidula, MA, BCBA is 1821455692. It was assigned on January 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Corissa Gidula, MA, BCBA?
Corissa Gidula, MA, BCBA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 1-22-59762.
Where does Corissa Gidula, MA, BCBA practice?
The practice location is 848 Buccaneer Ln, Manahawkin, NJ 08050-2112. The office can be reached at 484-258-6050 (phone).
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 1821455692 directly on the NPPES registry website.