| Spectrum Behavioral Associates | |
|
1050 Shiloh Rd Nw Ste 310 Kennesaw GA 30144-8100 | |
| (610) 780-0364 | |
| Not Available |
| Full Name | Spectrum Behavioral Associates |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1050 Shiloh Rd Nw Ste 310, Kennesaw, Georgia |
| Authorized Official Name and Position | Heather Hackett-hayes (DIRECTOR/OWNER) |
| Authorized Official Contact | 6107800364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavioral Associates 1050 Shiloh Rd Nw Ste 310 Kennesaw GA 30144-8100 Ph: (610) 780-0364 | Spectrum Behavioral Associates 1050 Shiloh Rd Nw Ste 310 Kennesaw GA 30144-8100 Ph: (610) 780-0364 |
| NPI Number | 1992170849 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992170849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-084891 (Georgia) | Primary |
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