Organization Active NPI

Summit Allied Behavioral Services, LLC

  • Behavior Analyst
  • Breckenridge, CO
National Provider Identifier
1013579044
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUMMIT ALLIED BEHAVIORAL SERVICES, LLC
Practice address
99 Audrey Cir
Breckenridge, CO 80424-8950
Phone
(970) 368-2344
NPI assigned
Jun 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelsey Swanson, BCBANPI 1619536992
Title
Behavior Therapist
Phone
(970) 368-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

99 Audrey Cir
Breckenridge, CO 80424-8950

Mailing address

99 Audrey Cir
Breckenridge, CO 80424-8950
Phone (970) 368-2344

Other names 1

  • SummitABS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1013579044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 AUDREY CIR",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248950",
            "telephone_number": "970-368-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 AUDREY CIR",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248950",
            "telephone_number": "970-368-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ALLIED BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "970-368-2344",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SummitABS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.