Active NPI
Michael Shua Cunningham, BCBA
- Behavior Analyst
- Green Bay, WI
National Provider Identifier
1124904487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1426-140
- Practice address
- 2738 Manitowoc Rd
Green Bay, WI 54311-6630 - Phone
- (920) 301-3189
- NPI assigned
- Aug 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1426-140 | WI | Primary |
Addresses
Primary practice location
2738 Manitowoc Rd
Green Bay, WI 54311-6630
Mailing address
479 S Good Hope Rd
De Pere, WI 54115-2432
Phone (920) 267-0532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1426-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1124904487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 S GOOD HOPE RD",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152432",
"telephone_number": "920-267-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2738 MANITOWOC RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116630",
"telephone_number": "920-301-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "MICHAEL",
"middle_name": "SHUA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "1426-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.