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Dominique A Cumbermack , BCBA

Behavior Analyst β€’ Tampa, FL

Active NPI 1497226898 Individual Practitioner Female Practitioner
Practice location in NPPES

5100 W Kennedy Blvd Ste 160
Tampa, FL 336091817

Call 8885278037 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5100 W Kennedy Blvd Ste 160

Tampa, FL 336091817

Telephone 8885278037
Fax 8885278037
Organization at the Same NPPES Address or Phone
George M Northrup M D P A Facility NPI 1477742799

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tampa and Florida

665 active clinicians are listed under Behavior Analyst with a practice address in Tampa, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tampa

0% of these 665 clinicians have the CMS telehealth indicator.

0% of these 665 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-21-50408

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1629006507

Doctor of Medicine (M.D.)

Dr. Robert Wilkins , MD

Psychiatry & Neurology - Psychiatry

NPI 1528168770

Doctor of Medicine (M.D.)

Dorothy Wold , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174171813

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location August 01, 2024

Registered at 5100 W KENNEDY BLVD STE 160, TAMPA, FL 336091817 (Tel: 8885278037)

πŸ“
Updated Business Mailing Address August 01, 2024

Registered at 5100 W KENNEDY BLVD, TAMPA, FL 336091849

πŸ‘€
Provider Name / Credentials Updated August 01, 2024

Recorded as DOMINIQUE CUMBERMACK, BCBA

πŸ“
Updated Practice Location November 29, 2021

Registered at 5340 N TARRANT PKWY, FORT WORTH, TX 762446293 (Tel: 6829001444)

πŸ“
Updated Business Mailing Address November 29, 2021

Registered at 5340 N TARRANT PKWY, FORT WORTH, TX 762446293

πŸ‘€
Provider Name / Credentials Updated July 03, 2021

Recorded as DOMINIQUE FINLAY, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2021

Behavior Analyst (license number reported to NPPES: FL 1-21-50408)

βœ…
NPI Profile Active December 17, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2018

Registered at 5500 MURRELL RD # 100, MELBOURNE, FL 329406700 (Tel: 3214267759)

πŸ“
Business Mailing Address (Initial Record) December 17, 2018

Registered at 175 MIDDLE ST UNIT 1201, LAKE MARY, FL 327463625

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2018

Recorded as DOMINIQUE FINLAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 10, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497226898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2018
Last Update: August 01, 2024
Sole Proprietor: No

Mailing Address

5100 W Kennedy Blvd

Tampa, FL 336091849

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.