MEDICARE: SEQUOIA CUNNINGHAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1689550659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEQUOIA CUNNINGHAM

Provider Business Mailing Address
First Line	:	1243 FARM BRANCH DR SW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-7202
Country	:	US
Telephone Number	:	954-770-8501
Fax Number	:

Provider Business Practice Location Address
First Line	:	6871 BELFORT OAKS PL STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-6242
Country	:	US
Telephone Number	:	904-886-3228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	09/26/2025

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Directions to “ SEQUOIA CUNNINGHAM ” Practice Location

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