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General NPI Number Information
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NPI Number | 1982557120
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Entity Type | Organization
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Legal Business Name | NEW SUMMITS ABA, LLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 4887 STEELHEAD ST
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City | JUNEAU
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State | AK
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Zip | 99801-8729
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Country | US
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Telephone | 907-921-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 4887 STEELHEAD ST
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City | JUNEAU
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State | AK
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Zip | 99801-8729
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Country | US
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Telephone | 907-921-1184
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Fax |
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Authorized Official
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Title or Position | BCBA, CO-OWNER
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Name | JENNA WIERSMA
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Credential | BCBA
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Telephone | 907-957-9430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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