Provider Demographics
NPI:1982426227
Name:SOMMERS, ARI MAE (RBT)
Entity type:Individual
Prefix:
First Name:ARI
Middle Name:MAE
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:KAYLEIGH
Other - Middle Name:MAE
Other - Last Name:LUTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:152 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-4821
Mailing Address - Country:US
Mailing Address - Phone:360-485-7391
Mailing Address - Fax:
Practice Address - Street 1:1217 COOPER POINT RD SW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-7204
Practice Address - Country:US
Practice Address - Phone:360-464-9052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-24-336005106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician