Provider Demographics
NPI:1699030619
Name:THORNE, CORINA LYNNE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CORINA
Middle Name:LYNNE
Last Name:THORNE
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 1:1047 ASPEN GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4468
Mailing Address - Country:US
Mailing Address - Phone:775-350-9486
Mailing Address - Fax:
Practice Address - Street 1:3310 GONI RD BLDG H
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-7917
Practice Address - Country:US
Practice Address - Phone:775-350-9486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-9676103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst