Cynthia A Long, M.A., B.C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4170 Issued in FL

Practice address

3195 Zinfandel Dr
BLDG G, Suite 21
Rancho Cordova, CA 95670-6376

Phone

(916) 606-2756

Fax

(916) 731-5576

NPI assigned

Dec 17, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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.

• Square One

  • Behavior Analyst
  • Rancho Cordova, CA
  • NPI 1124391404
  NPD (past)

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1952647075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 JANEY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194224",
            "telephone_number": "916-606-2756",
            "fax_number": "916-731-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 ZINFANDEL DR",
            "address_2": "BLDG G, SUITE 21",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706376",
            "telephone_number": "916-606-2756",
            "fax_number": "916-731-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "M.A., B.C.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-08-4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Lo
• Kiska Logan
• Lila Lona
• Channary Long
• Courtney Long, BCBA
• Evin Mark Long
• Jennifer Rizzo Long, M.D.
• Alexcia Monquia Lopez Salas
• Lori D. Kam and Stephen K. Ching, O.D.S
• Jay-Lynn Ashley Love

• Behavior Analyst in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.