NPIMap

Organization Active NPI

Shoreline Center for Exceptional Students, LLC

Doing business as Shoreline Center

  • Behavior Analyst
  • Port St Joe, FL
National Provider Identifier
1891303244
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHORELINE CENTER FOR EXCEPTIONAL STUDENTS, LLC
Doing business as
Shoreline Center
Practice address
528 Cecil G Costin Sr Blvd Ste a
Port St Joe, FL 32456-1754
Phone
(850) 227-1163
NPI assigned
Jul 21, 2020
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Tracie Ann Cumbie, M.S.
Title
Behavior Analyst
Phone
(850) 227-5759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

528 Cecil G Costin Sr Blvd Ste a
Port St Joe, FL 32456-1754

Mailing address

528 Cecil G Costin Sr Blvd Ste a
Port St Joe, FL 32456-1754
Phone (850) 227-5759

Other names 1

  • Shoreline Center Doing business as

National Provider Directory

National Provider Directory

Locations

528 Cecil G Costin SR Blvd
#A
Port St Joe, FL 32456
Phone (850) 227-1163

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1891303244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 CECIL G COSTIN SR BLVD STE A",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561754",
            "telephone_number": "850-227-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 CECIL G COSTIN SR BLVD STE A",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561754",
            "telephone_number": "850-227-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE CENTER FOR EXCEPTIONAL STUDENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "CUMBIE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "850-227-5759",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Joe, FL

Sources for this page

  • 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.