Provider Demographics
NPI:1417251737
Name:CORBETT, LYNN M (BCBA)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:CORBETT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5523
Mailing Address - Country:US
Mailing Address - Phone:774-269-8028
Mailing Address - Fax:508-224-9823
Practice Address - Street 1:749 ROCKY HILL RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-5523
Practice Address - Country:US
Practice Address - Phone:508-280-7592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156103K00000X
MA5086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst