| Summit Behavior Support | |
|
2700 E Seltice Way Ste 8 Post Falls ID 83854-7986 | |
| (509) 741-0253 | |
| Not Available |
| Full Name | Summit Behavior Support |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2700 E Seltice Way Ste 8, Post Falls, Idaho |
| Authorized Official Name and Position | Alysha Carol Stowe (BCBA) |
| Authorized Official Contact | 5097410253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavior Support 31086 N 10th Ave Spirit Lake ID 83869-9475 Ph: () - | Summit Behavior Support 2700 E Seltice Way Ste 8 Post Falls ID 83854-7986 Ph: (509) 741-0253 |
| NPI Number | 1114701679 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114701679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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