| Spectrum Behavior Services, Llc | |
|
885 Broadway #173 Bayonne NJ 07002-3087 | |
| (215) 495-2411 | |
| Not Available |
| Full Name | Spectrum Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 885 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Geoffrey Debery (PRESIDENT) |
| Authorized Official Contact | 2154952411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavior Services, Llc 443 17th St Apt 2l Brooklyn NY 11215-6233 Ph: () - | Spectrum Behavior Services, Llc 885 Broadway #173 Bayonne NJ 07002-3087 Ph: (215) 495-2411 |
| NPI Number | 1578839973 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578839973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 01062727 (New Jersey) | Primary |
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