Garland Summers, QASP

Individual provider Active NPI Assistant Behavior Analyst · Richmond Hill, GA

NPI 1659923951 · NPPES record last updated Jul 16, 2019

Key facts

NPI
1659923951
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone
(912) 660-1100
Fax
(912) 445-0023
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Therapy Center LLC Past
since Jul 25, 2019
Accepting new patients
Sally M Way Tully Past
since Jul 25, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948

Mailing address

10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone (912) 660-1100

Other providers in Richmond Hill, GA

All providers in Richmond Hill, GA · Assistant Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.