| Center For Spectrum Cl Llc | |
|
16703 Pebbleglen Dr Houston TX 77095-1399 | |
| (949) 903-5585 | |
| Not Available |
| Full Name | Center For Spectrum Cl Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16703 Pebbleglen Dr, Houston, Texas |
| Authorized Official Name and Position | Mikyung Park (CEO) |
| Authorized Official Contact | 3463407182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Spectrum Cl Llc 16703 Pebbleglen Dr Houston TX 77095-1399 Ph: (949) 903-5585 | Center For Spectrum Cl Llc 16703 Pebbleglen Dr Houston TX 77095-1399 Ph: (949) 903-5585 |
| NPI Number | 1477268290 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477268290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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