Active NPI
Daniel Ellis Cumba
- Behavior Analyst
- Gainesville, FL
National Provider Identifier
1649765272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67996
- Practice address
- 9200 NW 39TH Ave Ste 130-1020
Gainesville, FL 32606-7331 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Jun 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 18-58924 | GA | |
| Behavior Analyst | 103K00000X | 1-23-67996 | FL | Primary |
Addresses
Primary practice location
9200 NW 39TH Ave Ste 130-1020
Gainesville, FL 32606-7331
Mailing address
1 Willow TRL
Ocala, FL 34472-8614
Phone (305) 562-3268
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 |
|---|---|---|---|
| 18-58924 | GA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Behavioral & Developmental Consultants LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Valdosta, GA
- NPI 1134553985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709424000000",
"number": "1649765272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WILLOW TRL",
"city": "OCALA",
"state": "FL",
"postal_code": "344728614",
"telephone_number": "305-562-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 NW 39TH AVE STE 130-1020",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067331",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBA",
"first_name": "DANIEL",
"middle_name": "ELLIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2024-03-03",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "18-58924",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-67996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.