Jacquelyn Summers
Behavior Technician
179 W Main St
New Market
, Maryland 21774-6243
Jacquelyn Summers
Behavior Technician
179 W Main St
New Market
, Maryland 21774-6243
(301) 305-1298
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jacquelyn Summers
- 179 W Main St
- New Market, MD
- Zip : 21774-6243
- Phone : (301) 305-1298
Second Address
- Jacquelyn Summers
- 179 W Main St
- New Market, MD
- Zip : 21774-6243
- Phone : (301) 305-1298
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003287053 |
|---|---|
| Provider Name | Jacquelyn Summers |
| First Address | New Market, MD 21774-6243 |
| Second Address | New Market, MD 21774-6243 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2015 |
| Last Update Date | 14/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.