| Summit Behavior, Llc | |
|
109 Lane Dr Norwood MA 02062-3139 | |
| (508) 380-6305 | |
| Not Available |
| Full Name | Summit Behavior, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 109 Lane Dr, Norwood, Massachusetts |
| Authorized Official Name and Position | Meghan Elizabeth Martineau (COFOUNDER AND SENIOR BCBA) |
| Authorized Official Contact | 5083806305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavior, Llc 109 Lane Dr Norwood MA 02062-3139 Ph: () - | Summit Behavior, Llc 109 Lane Dr Norwood MA 02062-3139 Ph: (508) 380-6305 |
| NPI Number | 1235633140 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235633140 | NPI | - | NPPES |
| 330 | Other | MA | LABA, BEHAVIOR ANALYST |
| 449 | Other | MA | LABA, BEHAVIOR ANALYST |
| 428 | Other | MA | LABA, BEHAVIOR ANALYST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 428 (Massachusetts) | Primary |
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