(800) 868-1923

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: