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General NPI Number Information
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NPI Number | 1225944556
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Entity Type | Organization
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Legal Business Name | SUMMIT BEHAVIOR COMPANY LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 120B SANTA MARGARITA AVENUE SUITE 211
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 815-529-1104
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 MARKET ST STE 46078
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1612
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. GABRIELLE FAIRBAIRN
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Credential | MA, BCBA
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Telephone | 815-529-1104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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