Provider Demographics
NPI:1154646701
Name:GAINEY, SUMMER BARTOLOME (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:BARTOLOME
Last Name:GAINEY
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 ELECTRIC LANE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:77830
Mailing Address - Country:US
Mailing Address - Phone:512-940-3869
Mailing Address - Fax:
Practice Address - Street 1:4531 ELECTRIC LANE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:TX
Practice Address - Zip Code:77830
Practice Address - Country:US
Practice Address - Phone:512-940-3869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-09-6323103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst