Organization
BLUESPRIG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY SUMMERVILLE RBT (REGISTERED BEHAVIOR TECHNICIAN)
(704) 903-2464
Entity
Organization
Contact information
Practice address
1510 GREENLAWN BLVD, ROUND ROCK, TX 78664-7072
(512) 334-9216
Mailing address
1800 PLATEAU VISTA BLVD APT 31107, ROUND ROCK, TX 78664-3881
(704) 903-2464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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