| Spectrum Behavioral Services Pllc | |
|
118 N F St Livingston MT 59047-2727 | |
| (406) 876-4772 | |
| Not Available |
| Full Name | Spectrum Behavioral Services Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 118 N F St, Livingston, Montana |
| Authorized Official Name and Position | Tess L Gelderloos (OWNER) |
| Authorized Official Contact | 4068764772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavioral Services Pllc 118 N F St Livingston MT 59047-2727 Ph: (406) 876-4772 | Spectrum Behavioral Services Pllc 118 N F St Livingston MT 59047-2727 Ph: (406) 876-4772 |
| NPI Number | 1972230209 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972230209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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