| Summit Behavior Therapy, Llc | |
|
1030 Jamestown Cres Norfolk VA 23508-1260 | |
| (757) 962-9110 | |
| Not Available |
| Full Name | Summit Behavior Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1030 Jamestown Cres, Norfolk, Virginia |
| Authorized Official Name and Position | Kimberly Burgess (CO PRESIDENT) |
| Authorized Official Contact | 7579629110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavior Therapy, Llc 1030 Jamestown Cres Norfolk VA 23508-1260 Ph: (757) 962-9110 | Summit Behavior Therapy, Llc 1030 Jamestown Cres Norfolk VA 23508-1260 Ph: (757) 962-9110 |
| NPI Number | 1710398730 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710398730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000397 (Virginia) | Primary |
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