| Spectrum Behavioral Solutions, Llc | |
|
345 Stone Island Rd Enterprise FL 32725-2424 | |
| (407) 353-5168 | |
| Not Available |
| Full Name | Spectrum Behavioral Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 345 Stone Island Rd, Enterprise, Florida |
| Authorized Official Name and Position | Tara Lozito (MANAGING MEMBER) |
| Authorized Official Contact | 4073535168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavioral Solutions, Llc 345 Stone Island Rd Enterprise FL 32725-2424 Ph: (407) 353-5168 | Spectrum Behavioral Solutions, Llc 345 Stone Island Rd Enterprise FL 32725-2424 Ph: (407) 353-5168 |
| NPI Number | 1508202953 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508202953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3595 (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 1-07-3595 (* (Not Available)) | Secondary |
Fumch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Children's Way, Enterprise, FL 32725 Phone: 386-668-4774 Fax: 386-668-4486 |