NPIMap

Organization Active NPI

Summit Behavior, LLC

  • Behavior Analyst
  • Norwood, MA
National Provider Identifier
1235633140
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
428 Issued in MA
Legal business name
SUMMIT BEHAVIOR, LLC
Practice address
109 Lane Dr
Norwood, MA 02062-3139
Phone
(508) 380-6305
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Mrs. Meghan Elizabeth Martineau, PH.D, BCBA-DNPI 1740583962
Title
Cofounder and Senior Bcba
Phone
(508) 380-6305

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 428 MA Primary

Addresses

Primary practice location

109 Lane Dr
Norwood, MA 02062-3139

Mailing address

109 Lane Dr
Norwood, MA 02062-3139

Other identifiers 3

IdentifierTypeStateIssuer
330OtherMALABA, BEHAVIOR ANALYST
449OtherMALABA, BEHAVIOR ANALYST
428OtherMALABA, BEHAVIOR ANALYST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1235633140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LANE DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LANE DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623139",
            "telephone_number": "508-380-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COFOUNDER AND SENIOR BCBA",
        "authorized_official_telephone_number": "508-380-6305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABA, BEHAVIOR ANALYST",
            "identifier": "330",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABA, BEHAVIOR ANALYST",
            "identifier": "449",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABA, BEHAVIOR ANALYST",
            "identifier": "428",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.