Individual
CANTRELL CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 DANTE ST, NEW ORLEANS, LA 70118-1013
(504) 517-1711
Mailing address
3601 KENT DR, NEW ORLEANS, LA 70131-5651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
12/19/2018
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