| Supporting The Spectrum | |
|
9200 Nw 14th Ct Plantation FL 33322-4308 | |
| (954) 829-9018 | |
| Not Available |
| Full Name | Supporting The Spectrum |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9200 Nw 14th Ct, Plantation, Florida |
| Authorized Official Name and Position | Johnathan M Kabot (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9548299018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supporting The Spectrum 9200 Nw 14th Ct Plantation FL 33322-4308 Ph: (954) 829-9018 | Supporting The Spectrum 9200 Nw 14th Ct Plantation FL 33322-4308 Ph: (954) 829-9018 |
| NPI Number | 1164771838 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164771838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1095153 (Florida) | Primary |
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