Dominique A Cumbermack, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50408 Issued in FL

Practice address

5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817

Phone

(888) 527-8037

Fax

(888) 527-8037

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Thrive Behavior Centers LLC

  • Community/Behavioral Health Agency
  • Willow Park, TX
  • NPI 1265072680

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1497226898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W KENNEDY BLVD STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091817",
            "telephone_number": "888-527-8037",
            "fax_number": "888-527-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBERMACK",
        "first_name": "DOMINIQUE",
        "middle_name": "A",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Culp
• Cultivate4Excellence Inc
• Lesli L. Culver, LCSW, CBIS, BCD
• Franka Vidya Cumberbatch-Hankton, LCSW
• Cumberland Pharmacy LLC (Axcess Pharmacy)
• Arianna C Cumbrera Fina
• Cumedica Doctors Center
• Carrie Lee Cummings, PTA
• Holly Cummings
• Jason Cummings, MD

• Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.