Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134854946 Individual Practitioner Male Practitioner

Brian Eugene Summo , BCBA

Behavior Analyst • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Brian Summo, BCBA is a registered healthcare professional specializing in Behavior Analyst in Roanoke, VA. Practice services are available at 1314 RIVERLAND RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1314 Riverland Rd Se

Roanoke, VA 240143610

Telephone 8665657222
Fax 8777341914

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
66 Specialists

Practicing in Roanoke, VA (2797 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License VA 1-17-26865

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1134854946 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Annie Deguire , RBT

Behavior Technician

NPI 1013779297

Registered Behavior Technician

William Ward , RBT

Behavior Technician

NPI 1073286886

Registered Behavior Technician

NPI 1073907499

Board Certified Behavior Analyst

Lauren Rogers

Behavior Technician

NPI 1124637798
Katelyn Gatzke , BCaBA

Assistant Behavior Analyst

NPI 1124678891

BCABA

Dayanna Mackey , BCAT

Behavior Technician

NPI 1134726656

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address August 22, 2023

Registered at 1314 RIVERLAND RD SE, ROANOKE, VA 240143610 (Tel: 5409582080)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2023

Behavior Analyst (License #1-17-26865 in VA)

NPI Profile Active July 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2022

Registered at 1314 RIVERLAND RD SE, ROANOKE, VA 240143610 (Tel: 8665657222)

📍
Updated Business Mailing Address July 18, 2022

Registered at 2924 WINDRUSH LN, ROANOKE, VA 240126986 (Tel: 5409582080)

👤
Provider Name / Credentials Updated July 18, 2022

Recorded as BRIAN SUMMO, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Behavior Analyst (License #0133001022 in VA)

🟢
Initial NPI Registration & Enumeration July 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134854946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2022
Last Update: August 22, 2023
Sole Proprietor: No

Mailing Address

1314 Riverland Rd Se

Roanoke, VA 240143610

Phone: 5409582080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.