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NPI Code Detail

MEDICARE: JUDITH UDOKA SUMMERS BCBA

MEDICARE: JUDITH UDOKA SUMMERS BCBA
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 Analyst1-23-67168IL

General Provider Information

NPI Number : 1932988177
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH UDOKA SUMMERS BCBA
Provider Business Mailing Address
First Line : 1515 W MORSE AVE APT 314
Second Line :
City : CHICAGO
State : IL
Zip : 60626-3351
Country : US
Telephone Number : 773-502-5881
Fax Number :
Provider Business Practice Location Address
First Line : 1515 W MORSE AVE APT 314
Second Line :
City : CHICAGO
State : IL
Zip : 60626-3351
Country : US
Telephone Number : 773-502-5881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2023
Last Update Date : 09/27/2023

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Directions to “ JUDITH UDOKA SUMMERS BCBA” Practice Location

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