Provider Demographics
NPI:1255854238
Name:CUBA, TOI-KAI DENISE (BCBA)
Entity Type:Individual
Prefix:
First Name:TOI-KAI
Middle Name:DENISE
Last Name:CUBA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4562 RINCON PL
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1044
Mailing Address - Country:US
Mailing Address - Phone:757-303-2761
Mailing Address - Fax:
Practice Address - Street 1:4562 RINCON PL
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-1044
Practice Address - Country:US
Practice Address - Phone:757-303-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1-17-26863103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty