Healthcare Provider Details

I. General information

NPI: 1780216234
Provider Name (Legal Business Name): ASHLEY NICOLE CUMMINGS BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MAIN ST
FARMINGTON CT
06032-2985
US

IV. Provider business mailing address

1390 EAST ST APT 306
NEW BRITAIN CT
06053-2145
US

V. Phone/Fax

Practice location:
  • Phone: 860-674-1824
  • Fax:
Mailing address:
  • Phone: 860-508-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15433659
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: