| Summit Behavioral Therapy Llc | |
|
1609 Fortune Dr Clearwater FL 33756-1813 | |
| (727) 410-6945 | |
| Not Available |
| Full Name | Summit Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1609 Fortune Dr, Clearwater, Florida |
| Authorized Official Name and Position | Andrew Coet (OWNER/BCBA) |
| Authorized Official Contact | 7274106945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavioral Therapy Llc 1609 Fortune Dr Clearwater FL 33756-1813 Ph: (727) 410-6945 | Summit Behavioral Therapy Llc 1609 Fortune Dr Clearwater FL 33756-1813 Ph: (727) 410-6945 |
| NPI Number | 1821845496 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821845496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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