| Espectro | |
|
11161 State Road 70 E # 110-924 Lakewood Ranch FL 34202-9407 | |
| (941) 315-4865 | |
| Not Available |
| Full Name | Espectro |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11161 State Road 70 E # 110-924, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Paula Castro (OWNER) |
| Authorized Official Contact | 9415490338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Espectro 11161 State Road 70 E # 110-924 Lakewood Ranch FL 34202-9407 Ph: (941) 315-4865 | Espectro 11161 State Road 70 E # 110-924 Lakewood Ranch FL 34202-9407 Ph: (941) 315-4865 |
| NPI Number | 1033983143 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033983143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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