CORISSA GIDULA MA BCBA NPI 1821455692

NPI Information

NPI: 1821455692
Provider Name: CORISSA GIDULA, MA, BCBA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
848 BUCCANEER LN
MANAHAWKIN, NJ
ZIP 08050
Phone: (484) 258-6050
Get Directions

Corissa Gidula, MA, BCBA is a mental health counselor in Manahawkin, NJ. Corissa Gidula, MA, BCBA NPI is 1821455692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

848 BUCCANEER LN
MANAHAWKIN, NJ
ZIP 08050-112
Phone: (484) 258-6050

The enumeration date for this NPI number is 1/25/2016 and was last updated on 2/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		1-22-59762	NEW JERSEY	No
2	101YM0800X	Counselor	Mental Health	APC004512	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »