| Full Spectrum Support, Llc | |
|
905 Redspire Dr Union NJ 07083-5060 | |
| (908) 361-4772 | |
| Not Available |
| Full Name | Full Spectrum Support, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 905 Redspire Dr, Union, New Jersey |
| Authorized Official Name and Position | Helena Isabel Branco (BEHAVIOR ANALYSIS) |
| Authorized Official Contact | 9083614772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Spectrum Support, Llc 905 Redspire Dr Union NJ 07083-5060 Ph: (908) 361-4772 | Full Spectrum Support, Llc 905 Redspire Dr Union NJ 07083-5060 Ph: (908) 361-4772 |
| NPI Number | 1245738699 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245738699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-25999 (New Jersey) | Primary |
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