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Organization
SUMMIT ACADEMY, INC.
Active
Organization
SUMMIT ACADEMY, INC.
Active
Parent organization
SUMMIT ACADEMY, INC.
Other names
Summit Behavior Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT ACADEMY, INC.
Authorized official
MR. DANIEL JAMES DIMEZZA (CEO/EXECUTIVE DIRECTOR)
(508) 751-8500
Entity
Organization
Contact information
Practice address
15 JAMESBURY DR, WORCESTER, MA 01609-1201
(508) 751-8500
(508) 751-8501
Mailing address
15 JAMESBURY DR, WORCESTER, MA 01609-1201
(508) 751-8500
(508) 751-8501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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