Healthcare Provider Details

I. General information

NPI: 1205708849
Provider Name (Legal Business Name): RHEYA LI CUMMINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N VULCAN AVE STE 209
ENCINITAS CA
92024-2191
US

IV. Provider business mailing address

721 N VULCAN AVE STE 209
ENCINITAS CA
92024-2191
US

V. Phone/Fax

Practice location:
  • Phone: 414-520-8141
  • Fax:
Mailing address:
  • Phone: 414-520-8141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-474814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: