Summit Behavior Support

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUMMIT BEHAVIOR SUPPORT

Practice address

2700 E Seltice Way Ste 8
Post Falls, ID 83854-7986

Phone

(509) 741-0253

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Alysha Carol Stowe, BCBA

Title

Bcba

Phone

(509) 741-0253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1114701679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31086 N 10TH AVE",
            "city": "SPIRIT LAKE",
            "state": "ID",
            "postal_code": "838699475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E SELTICE WAY STE 8",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547986",
            "telephone_number": "509-741-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIOR SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "ALYSHA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "509-741-0253",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

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• Behavior Analyst in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.