| Summit Behavioral Consulting Llc | |
|
1361 S Winchester Blvd Ste 109 San Jose CA 95128-4328 | |
| (804) 436-2222 | |
| (831) 288-8763 |
| Full Name | Summit Behavioral Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1361 S Winchester Blvd Ste 109, San Jose, California |
| Authorized Official Name and Position | Meredith Wike (DIRECTOR) |
| Authorized Official Contact | 8044362222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavioral Consulting Llc 1361 S Winchester Blvd Ste 109 San Jose CA 95128-4328 Ph: (804) 436-2222 | Summit Behavioral Consulting Llc 1361 S Winchester Blvd Ste 109 San Jose CA 95128-4328 Ph: (804) 436-2222 |
| NPI Number | 1073024196 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073024196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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