Blakely Rae Cunningham, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

14864 County Road 433
Tyler, TX 75706-3206

Phone

(903) 636-7994

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lone Star Day Program

  • Behavior Analyst
  • Lindale, TX
  • NPI 1801210505
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1285396515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14864 COUNTY ROAD 433",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757063206",
            "telephone_number": "903-830-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14864 COUNTY ROAD 433",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757063206",
            "telephone_number": "903-636-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "BLAKELY",
        "middle_name": "RAE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Blakely@lonestardayprogram.com",
            "affiliation": "Y",
            "endpointDescription": "Lone Star Day Program",
            "affiliationName": "Lone Star Day Program",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14864 County Road 433",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meagan Michelle Culpepper, FNP-C
• Chase Gordon Culver, M.D.
• Cory Lee Cummings, M.D.
• Bonita A Cummins, RN
• Christina Cunigan
• Elizabeth McCallum Cunningham, SLP
• Margaret Cunningham, DC
• Shae A Cunningham
• Steven A. Curley, M.D.
• Kristi Currie

• Behavior Analyst in Tyler, TX
• Providers in Tyler, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.