Corum, Charles

Corum, Charles is an sole proprietor health care provider with primary practice located at 510 W 10Th St , Lynn Haven FL 32444-2329. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Corum, Charles can be contacted via phone (575) 649-6044.

Contact Information

Primary practice address
510 W 10Th St Lynn Haven FL 32444-2329
Phone: (575) 649-6044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-38776 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 247200000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-38776

Profile Details

NPI number 1033654504
LBN Legal business name Corum, Charles
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2016
Last updated Nov 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers