Spectrum Behavioral Services, Llc | |
51 Fierro Ave Matawan NJ 07747-3038 | |
(732) 788-5850 | |
(708) 801-7211 |
Full Name | Spectrum Behavioral Services, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 51 Fierro Ave, Matawan, New Jersey |
Authorized Official Name and Position | Kristin Foley (OWNER) |
Authorized Official Contact | 7327885850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectrum Behavioral Services, Llc 51 Fierro Ave Matawan NJ 07747-3038 Ph: (732) 788-5850 | Spectrum Behavioral Services, Llc 51 Fierro Ave Matawan NJ 07747-3038 Ph: (732) 788-5850 |
NPI Number | 1316337223 |
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Provider Enumeration Date | 01/29/2015 |
Last Update Date | 01/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316337223 | NPI | - | NPPES |
1508095704 | Other | NJ | NPI AS INDIVIDUAL PRACTIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-08-4076 (Washington) | Primary |
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