Provider Demographics
NPI:1699305524
Name:CUMMINGS, JAMES CADE (BCBA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CADE
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 TROWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-2156
Mailing Address - Country:US
Mailing Address - Phone:337-661-9974
Mailing Address - Fax:
Practice Address - Street 1:3207 TROWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-2156
Practice Address - Country:US
Practice Address - Phone:337-661-9974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-12-10230103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst