SUMMIT BEHAVIORAL SERVICES, LLC (NPI# 1376870865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376870865 |
| Entity Type | Organization |
| Organization Name | SUMMIT BEHAVIORAL SERVICES, LLC |
| Practice Address |
1460 Nw Vivion Rd Kansas City MO 64118 |
| Mailing Address |
1460 Nw Vivion Rd Kansas City MO 64118-4555 |
| Practice Telephone | 8168530946 |
| Practice Fax Number | 8163968809 |
| Mailing Telephone | 8168530946 |
| Mailing Fax Number | 8163968809 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MARIA A KRATOFIL (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 8168530946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1460 Nw Vivion Rd, Kansas City, MO 64118 | 8168530946 | 8163968809 |
| Street Address |
1460 NW VIVION RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898921 | Gabrielle Stuart | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-10-12 |
| 1508472036 | Hailey N Mancuso | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-09-21 |
| 1225641095 | Ashley E Price | Behavioral Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-31 |
| 1598378358 | Emily Joyce | Assistant Behavior Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-30 |
| 1790398840 | Taylor Paige Robinson | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-28 |
| 1043831324 | Natheo Robinson | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-04-28 |
| 1588291017 | Tyler Blyth | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-03-25 |
| 1649807116 | Summit Future Foundation | Day Training, Developmentally Disabled Services | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-03-25 |
| 1437781465 | Madison Ann Harley | Behavioral Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-02-07 |
| 1992343958 | Mariah Moseley | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2019-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
| 1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
| 1568634376 | Sharon L. Rider | Counselor | 200 Ne 54th St. Suite 202, Creekwood II, Kc, MO 64118 | 2008-04-01 |
| Find all providers in zip 64118 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378358 | Emily Joyce | Assistant Behavior Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182236 | Victoria Moore | Assistant Behavior Analyst | 495 Shade Tree Ln, Farmington, MO 63640-7708 | 2020-04-03 |
| 1598327595 | Southeast Behavior Intervention & Consultation | Assistant Behavior Analyst | 373 Rylane, Jackson, MO 63755-8730 | 2019-07-01 |
| 1780144022 | Michelle Auer | Assistant Behavior Analyst | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-22 |
| 1841756509 | Perspectives Preparatory Academy | Assistant Behavior Analyst | 1601 E Republic Rd, Springfield, MO 65804-6526 | 2019-02-18 |
| 1376084178 | Cassandra Lichtenberg | Assistant Behavior Analyst | 7049 Pershing Ave, Saint Louis, MO 63130-4319 | 2017-03-13 |
| 1558809889 | Johnna Burton | Assistant Behavior Analyst | 180 Cemetery Rd., Neosho, MO 64850 | 2017-02-07 |
| 1235775248 | National Mentor Services, LLC | Assistant Behavior Analyst | 11872 Westline Industrial Dr Ste 180, Saint Louis, MO 63146-3331 | 2019-11-25 |
| 1902463029 | Wellhealth | Assistant Behavior Analyst | 6113 Ridge Ave, Saint Louis, MO 63133-2616 | 2019-05-23 |
| 1558821447 | Christina Bourbon | Assistant Behavior Analyst | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-25 |
| 1881165934 | Tonia Dolan | Assistant Behavior Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.