Justin Michael Fossett-Cunningham
Behavior Analyst in Bay Point, CA. Individual provider (NPI-1).
NPI number1124901616
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1124901616
- Entity type
- Individual (NPI-1)
- Name
- Justin Michael Fossett-Cunningham
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2025
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2931 Mary Ann LnBay Point, CA 94565-6676
Phone 925-350-1467
Mailing address
2931 Mary Ann LnBay Point, CA 94565-6676
Phone 925-350-1467
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Analyst providers in Bay Point, CA
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All 7 Behavior Analyst providers in Bay Point · All 129 providers in Bay Point
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