Justin Michael Fossett-Cunningham
Individual provider Active NPI Behavior Analyst · Bay Point, CA
NPI 1124901616 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1124901616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2931 Mary Ann LN
Bay Point, CA 94565-6676 - Phone
- (925) 350-1467
- NPI assigned
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2931 Mary Ann LN
Bay Point, CA 94565-6676
Mailing address
2931 Mary Ann LN
Bay Point, CA 94565-6676
Phone (925) 350-1467
Other providers in Bay Point, CA
- Stephanie Esquivel
- Ez Cares LLC
- Vivian Ferguson
- Irina Filipchik
- Clarissa D Ford
- Ericka Franco-Hinokawa
- Ada Lorena Franco
- Fred Finch Youth Center
- Fred Finch Youth Center
- Fred Finch Youth Center
All providers in Bay Point, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.