Siva Korukonda

NPI 1902223357 · on the registry since 2014 · sole proprietor

Practice

Address: 4575 Se Dixie Hwy
Stuart, FL 34997
Phone: (855) 832-6727
Fax: (772) 675-1900
Organisation at this address: Positive Behavior Support Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 450

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida