Tracie Ann Butts, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27127 Issued in FL

Practice address

528 Cecil G Costin Sr Blvd
Port Saint Joe, FL 32456-1754

Phone

(850) 227-6194

NPI assigned

May 21, 2020

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracie Ann Cumbie Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Shoreline Center for Exceptional Students, LLC

  dba Shoreline Center

  • Behavior Analyst
  • Port St Joe, FL
  • NPI 1891303244
  NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1407479785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 CECIL G COSTIN SR BLVD",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561754",
            "telephone_number": "850-227-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 CECIL G COSTIN SR BLVD",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561754",
            "telephone_number": "850-227-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "TRACIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-27127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106421100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shorelinecenterpsj@gmail.com",
            "affiliation": "N",
            "address_1": "587 Plantation Dr",
            "city": "Port St Joe",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324565411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "CUMBIE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Wellness LLC
• Bayside Medical of Northwest FL LLC
• Lisa Lynn Bell, RCSWI, MSW
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Port St. Joe)
• Jamie Lynn Brannan, RBT
• Joanne Buzzett, M.S. CCC/SLP
• Coastal Counseling and Therapy LLC (Coastal Counseling & Therapy)
• Kalah Khamalah Cobourne
• Dailey Therapy, LLC
• Nakia Tamika Taylor Dailey, MS, CCC-SLP

• Behavior Analyst in Port Saint Joe, FL
• Providers in Port Saint Joe, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.