Third Wave ABA LLC
Behavior Analyst · Soquel, CA
Practice location
161 Peregrine LnSoquel, CA 95073-9770
- Phone
- (408) 835-2440
NPI record
- NPI
- 1477254472
- Entity type
- Organization (Type 2)
- Enumeration date
- March 15, 2023
- Last updated
- April 2, 2023
- Certified
- April 2, 2023
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
Authorized official
- Name
- Camille Dawn Summers, M.A., BCBA
- Title
- Founder & Clinical Director
- Phone
- (831) 531-7123
Other names
- Third Wave ABA LLC
About Third Wave ABA LLC
Third Wave ABA LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 161 Peregrine Ln, Soquel, CA 95073-9770. The NPI number 1477254472 was assigned on March 15, 2023 and the record was last updated on April 2, 2023.
The authorized official for this organization is Camille Dawn Summers, M.A., BCBA, Founder & Clinical Director.
Frequently asked questions
What is the NPI number of Third Wave ABA LLC?
The NPI number is 1477254472.
What is the phone number of Third Wave ABA LLC?
The phone number listed for the practice location is (408) 835-2440.
Where is Third Wave ABA LLC located?
161 Peregrine Ln, Soquel, CA 95073-9770.
What is the taxonomy code for Third Wave ABA LLC?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.