Provider Demographics
NPI:1366135550
Name:SUMMIT LEARNING COLORADO, LLC
Entity type:Organization
Organization Name:SUMMIT LEARNING COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANKENY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:858-692-0035
Mailing Address - Street 1:2200 S UNIVERSITY BLVD APT 414
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5469
Mailing Address - Country:US
Mailing Address - Phone:858-692-0035
Mailing Address - Fax:
Practice Address - Street 1:2200 S UNIVERSITY BLVD APT 414
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5469
Practice Address - Country:US
Practice Address - Phone:858-692-0035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child