Active NPI
Christopher David Cunningham, RBT
- Behavior Technician
- Silver Spring, MD
National Provider Identifier
1811592314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RB-19-96453
- Practice address
- 12528 Palermo Dr
Silver Spring, MD 20904-1852 - Phone
- (703) 447-6169
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RB-19-96453 | DC | Primary |
Addresses
Primary practice location
12528 Palermo Dr
Silver Spring, MD 20904-1852
Mailing address
4274 Drake CT
Waldorf, MD 20603-4561
Phone (240) 463-6284
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 |
|---|---|---|---|
| RB-19-96453 | DC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1811592314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4274 DRAKE CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034561",
"telephone_number": "240-463-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12528 PALERMO DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041852",
"telephone_number": "703-447-6169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "DC",
"license": "RB-19-96453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.