| Summit Behavioral Services, Llc | |
|
1460 Nw Vivion Rd Kansas City MO 64118 | |
| (816) 853-0946 | |
| (816) 396-8809 |
| Full Name | Summit Behavioral Services, Llc |
|---|---|
| Speciality | Assistant Behavior Analyst |
| Location | 1460 Nw Vivion Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Maria A Kratofil (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8168530946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavioral Services, Llc 1460 Nw Vivion Rd Kansas City MO 64118-4555 Ph: (816) 853-0946 | Summit Behavioral Services, Llc 1460 Nw Vivion Rd Kansas City MO 64118 Ph: (816) 853-0946 |
| NPI Number | 1376870865 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376870865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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