Spectrum House Inc. | |
6479 Caroline St Milton FL 32570-4502 | |
(850) 607-6910 | |
Not Available |
Full Name | Spectrum House Inc. |
---|---|
Speciality | Behavior Analyst |
Location | 6479 Caroline St, Milton, Florida |
Authorized Official Name and Position | Tyler Russell Steverson (CREDENTIALING MANAGER) |
Authorized Official Contact | 8506076910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectrum House Inc. 9900 N Davis Hwy Pensacola FL 32514-8124 Ph: () - | Spectrum House Inc. 6479 Caroline St Milton FL 32570-4502 Ph: (850) 607-6910 |
NPI Number | 1124753330 |
---|---|
Provider Enumeration Date | 07/21/2022 |
Last Update Date | 07/21/2022 |
Certification Date | 07/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124753330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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