Provider Demographics
NPI:1831760511
Name:HEIMAN, CORINNE (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:HEIMAN
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:WRONSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:815 TOWER PARK DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9027
Mailing Address - Country:US
Mailing Address - Phone:319-242-7642
Mailing Address - Fax:
Practice Address - Street 1:815 TOWER PARK DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9027
Practice Address - Country:US
Practice Address - Phone:319-242-7642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1058831103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst