NPI | 1811436256 |
---|---|
Former Legal Business Name | SUMMIT BEHAVIORAL SERVICES |
Entity Type | Organization |
Authorized Contact | LAREE KELLY-WARNER Owner 719-210-7464 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-06-2879) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2022-05-23 |