Provider Demographics
NPI:1417763491
Name:VOLZ, SUMER PAIGE (BCBA)
Entity type:Individual
Prefix:
First Name:SUMER
Middle Name:PAIGE
Last Name:VOLZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 MIDLAND CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-7758
Mailing Address - Country:US
Mailing Address - Phone:502-641-4044
Mailing Address - Fax:
Practice Address - Street 1:673 N BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:MOUNT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-7638
Practice Address - Country:US
Practice Address - Phone:502-251-5551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst