Cordell Cunningham
Individual provider Active NPI Behavior Technician · Hollis, NY
NPI 1225979396 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1225979396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 20417 Hillside Ave Ste 125
Hollis, NY 11423-2213 - Phone
- (917) 352-3995
- NPI assigned
- Apr 2, 2026
- Sex
- Male
- Sole proprietor
- No
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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
20417 Hillside Ave Ste 125
Hollis, NY 11423-2213
Mailing address
3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482
Other providers in Hollis, NY
- Corona Farmacia Inc
- Monica Coutard
- Sherry Crooks
- Michael Frank Csompo
- Salvacion Bautista Cumento
- Dalton Open MRI, P.C.
- Dalton Radiology, P.C.
- Danit Damty
- Bishen Daneshwar
- Datamarshall
All providers in Hollis, NY · Behavior Technician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. 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.