Healthcare Provider Details

I. General information

NPI: 1811546526
Provider Name (Legal Business Name): CORINA PLITT BS, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 SPRING STUEBNER RD STE 100
SPRING TX
77389-1116
US

IV. Provider business mailing address

16800 DALLAS PKWY STE 200
DALLAS TX
75248-1961
US

V. Phone/Fax

Practice location:
  • Phone: 832-764-7926
  • Fax:
Mailing address:
  • Phone: 972-532-1849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: