Provider Demographics
NPI:1497413975
Name:CORY, MARGARET EILEEN (BCBA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:EILEEN
Last Name:CORY
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 1:813 SATINWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5882
Mailing Address - Country:US
Mailing Address - Phone:757-262-7819
Mailing Address - Fax:
Practice Address - Street 1:813 SATINWOOD CT
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5882
Practice Address - Country:US
Practice Address - Phone:757-262-7819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2023-10-30
Deactivation Date:2023-10-20
Deactivation Code:
Reactivation Date:2023-10-30
Provider Licenses
StateLicense IDTaxonomies
106S00000X
VA12261869103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1021407Medicaid