Organization
SUMMIT BEHAVIOR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BURGESS M.ED, BCBA, LBA (CO PRESIDENT)
(757) 962-9110
Entity
Organization
Contact information
Practice address
1030 JAMESTOWN CRES, NORFOLK, VA 23508-1260
(757) 962-9110
Mailing address
1030 JAMESTOWN CRES, NORFOLK, VA 23508-1260
(757) 962-9110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000397
VA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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