Provider Demographics
NPI:1871311936
Name:CUMMINGS, ALEXANDRIA BRITTANY (CTRS, CDP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:BRITTANY
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CTRS, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 19TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-3371
Mailing Address - Country:US
Mailing Address - Phone:786-473-8738
Mailing Address - Fax:
Practice Address - Street 1:640 E MICHIGAN ST APT D147
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-0011
Practice Address - Country:US
Practice Address - Phone:786-334-7587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 171M00000X, 372600000X, 373H00000X
FL81282225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist