Most Relevant Information
Provider Data
| NPI Number: | 1003287053 |
| Provider Name: | JACQUELYN SUMMERS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2015 |
| Last Updated: | 10/14/2021 |
Provider Practice Location
179 W MAIN ST
NEW MARKET
MD
217746243
Practice Location Phone/Fax
| Phone: | 3013051298 |
| Fax: |
Provider Mailing Location
179 W MAIN ST
NEW MARKET
MD
217746243
Provider Mailing Phone/Fax
| Phone: | 3013051298 |
| Fax: |