| Summit Therapies, Llc | |
|
1437 Arbitus Cir Oviedo FL 32765-8048 | |
| (321) 277-2664 | |
| Not Available |
| Full Name | Summit Therapies, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1437 Arbitus Cir, Oviedo, Florida |
| Authorized Official Name and Position | Heather Marie Pavich (BEHAVIOR ANALYST) |
| Authorized Official Contact | 3212772664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Therapies, Llc 1437 Arbitus Cir Oviedo FL 32765-8048 Ph: (321) 277-2664 | Summit Therapies, Llc 1437 Arbitus Cir Oviedo FL 32765-8048 Ph: (321) 277-2664 |
| NPI Number | 1073104378 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073104378 | NPI | - | NPPES |
| 1770825028 | Medicaid | FL | |
| 1255667259 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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Amanda K. Smith, Ma, Lmhc, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Windsormere Way, Suite 300, Oviedo, FL 32765 Phone: 407-625-5314 Fax: 186-654-7016 | |
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