Organization
SUMMIT BEHAVIOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGHAN ELIZABETH MARTINEAU PH.D, BCBA-D (COFOUNDER AND SENIOR BCBA)
(508) 380-6305
Entity
Organization
Contact information
Practice address
109 LANE DR, NORWOOD, MA 02062-3139
(508) 380-6305
Mailing address
109 LANE DR, NORWOOD, MA 02062-3139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330
LABA, BEHAVIOR ANALYST
MA
01
—
428
LABA, BEHAVIOR ANALYST
MA
01
—
449
LABA, BEHAVIOR ANALYST
MA
Enumeration date
03/23/2018
Last updated
03/23/2018
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