Spectrum Healthcare Services Llc | |
1222 Se 47th St Cape Coral FL 33904-9661 | |
(239) 378-0504 | |
(855) 933-2614 |
Full Name | Spectrum Healthcare Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1222 Se 47th St, Cape Coral, Florida |
Authorized Official Name and Position | Ernesto Morejon Sosa (BEHAVIOR ANALYST) |
Authorized Official Contact | 2393780504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spectrum Healthcare Services Llc 1222 Se 47th St Cape Coral FL 33904-9661 Ph: (239) 378-0504 | Spectrum Healthcare Services Llc 1222 Se 47th St Cape Coral FL 33904-9661 Ph: (239) 378-0504 |
NPI Number | 1770191645 |
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Provider Enumeration Date | 07/16/2020 |
Last Update Date | 09/05/2023 |
Certification Date | 09/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770191645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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