Summit Behavior Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000397 Issued in VA

Legal business name

SUMMIT BEHAVIOR THERAPY, LLC

Practice address

1030 Jamestown Cres
Norfolk, VA 23508-1260

Phone

(757) 962-9110

NPI assigned

May 13, 2014

Last updated

May 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Burgess, M.ED, BCBA, LBA

Title

Co President

Phone

(757) 962-9110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Collins

  • Behavior Analyst
  • Norfolk, VA
  • NPI 1235526435
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1710398730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 JAMESTOWN CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081260",
            "telephone_number": "757-962-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JAMESTOWN CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081260",
            "telephone_number": "757-962-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIOR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "757-962-9110",
        "authorized_official_credential": "M.ED, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Sullivan, PT, DPT
• Neil Michael Sullivan, M.D.
• Nadia Sultan
• Chrisna Cole Summers, COTA/L
• Matthew Raymond Summers, M.D.
• Tiffany Tyree Sumter, LPTA
• Sun Young Inc
• Sunflower Home Care Services LLC
• Sunflowers Personalcare and Non Medical Transportation LLC (Sunflowers Personalcare)
• Carrie L Sunkins, LCSW

• Behavior Analyst in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.