Organization
AUTISM THERAPIES LLC
Active
Other names
Summy Family LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD G SUMMY MED (MEMBER)
(817) 925-2979
Entity
Organization
Contact information
Practice address
594 GARDEN CT, SOUTHLAKE, TX 76092-3500
(817) 925-2979
Mailing address
594 GARDEN CT, SOUTHLAKE, TX 76092-3500
(817) 925-2979
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-12-10467
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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