Jennifer Michelle Cundiff, M.ED., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

273596 Issued in KY

Practice address

309 Hurt St Apt 202
Columbia, KY 42728-2303

Phone

(859) 230-0559

NPI assigned

Jul 13, 2020

Last updated

Sep 30, 2021By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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.

• A Difference Place, LLC

  • Behavior Analyst
  • Columbia, KY
  • NPI 1225896202
  NPD Authorized official
• Gracie Behavior Associates, LLC

  • Behavior Analyst
  • Columbia, KY
  • NPI 1356004881
  NPD Authorized official
• Gracie Behavior Associates, LLC

  • Community/Behavioral Health Agency
  • Columbia, KY
  • NPI 1639992977
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1720606155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HURT ST APT 202",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282303",
            "telephone_number": "859-230-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HURT ST APT 202",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282303",
            "telephone_number": "859-230-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "271186",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "273596",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-20-126360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumberland Family Medical Center Inc (Adair County High Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Cumberland Pharmacy)
• Cumberland Family Medical Center Inc (Adair County Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (MyLyfe-Lindsey Wilson University)
• Cumberland Family Medical Center Inc (Adair County Middle Healthy Kids Clinic)
• Omega Daniels
• Tina Daniels, THERAPIST
• Edward R. Darnell, LPCA
• Kimberly Ann Davidson, LCSW
• Austin Demers

• Behavior Analyst in Columbia, KY
• Providers in Columbia, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.