| Spectrum House Inc. | |
|
6479 Caroline St Milton FL 32570-4502 | |
| (850) 607-6910 | |
| Not Available |
| Full Name | Spectrum House Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6479 Caroline St, Milton, Florida |
| Authorized Official Name and Position | Tyler Russell Steverson (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8506076910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum House Inc. 9900 N Davis Hwy Pensacola FL 32514-8124 Ph: () - | Spectrum House Inc. 6479 Caroline St Milton FL 32570-4502 Ph: (850) 607-6910 |
| NPI Number | 1124753330 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124753330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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