Provider Demographics
NPI:1861841330
Name:CORIATY, SEAN (MA BCBA)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:CORIATY
Suffix:
Gender:M
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 RICE HILL RD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:NH
Mailing Address - Zip Code:03836-5034
Mailing Address - Country:US
Mailing Address - Phone:603-452-8284
Mailing Address - Fax:
Practice Address - Street 1:229 RICE HILL RD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:NH
Practice Address - Zip Code:03836-5034
Practice Address - Country:US
Practice Address - Phone:603-452-8284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst