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NPI Code Detail

MEDICARE: SIERRA MICHELE SUMMERS

MEDICARE: SIERRA MICHELE SUMMERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst1-24-70728

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942845136
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA MICHELE SUMMERS
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 3600 MACLAY BLVD S STE 100
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-1276
Country : US
Telephone Number : 850-333-1279
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 11/19/2024

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1942977483 — ABIGAIL PAGE WOODS M.A. BCBA
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Directions to “ SIERRA MICHELE SUMMERS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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