Individual
KYLE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
50005 E ORCHARD RD, BENNETT, CO 80102-8326
(720) 563-9871
Mailing address
50005 E ORCHARD RD, BENNETT, CO 80102-8326
(720) 563-9871
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36702
CO
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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