Kyle Summers, M.ED.
Individual provider Active NPI Behavior Analyst · Bennett, CO
NPI 1093473944 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1093473944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-36702 (CO)
- Practice address
- 50005 E Orchard Rd
Bennett, CO 80102-8326 - Phone
- (720) 563-9871
- NPI assigned
- Dec 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-36702 | CO | Yes |
Addresses
Primary practice location
50005 E Orchard Rd
Bennett, CO 80102-8326
Mailing address
50005 E Orchard Rd
Bennett, CO 80102-8326
Phone (720) 563-9871
Other providers in Bennett, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.