NPI 1134854946

Brian Eugene Summo, BCBA

Practitioner Behavior Analyst Roanoke, VA

Practice location

Address: 1314 Riverland Rd SE, Roanoke, VA 24014-3610
Phone: (866) 565-7222
Fax: (877) 734-1914

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-17-26865 (VA)

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Registry record

NPI: 1134854946
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2022
Record last updated: 22 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.