Summit Behavioral Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUMMIT BEHAVIORAL THERAPY LLC

Practice address

1609 Fortune Dr
Clearwater, FL 33756-1813

Phone

(727) 410-6945

NPI assigned

May 2, 2024

Last updated

May 2, 2024By 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

Andrew CoetNPI 1780134601

Title

Owner/Bcba

Phone

(727) 410-6945

Specialties & licenses 2

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.

• Andrew Lee Coet, BCBA

  • Behavior Analyst
  • Miami, FL
  • NPI 1780134601
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1821845496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 FORTUNE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561813",
            "telephone_number": "727-410-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 FORTUNE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561813",
            "telephone_number": "727-410-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "COET",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "727-410-6945"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.