| Spectrum, Llc | |
|
1211 Bradley Rd Severn MD 21144-2786 | |
| (301) 346-5394 | |
| Not Available |
| Full Name | Spectrum, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1211 Bradley Rd, Severn, Maryland |
| Authorized Official Name and Position | Heather Nicole Hooper (OWNER) |
| Authorized Official Contact | 3013465394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum, Llc Po Box 164 Severn MD 21144-0164 Ph: () - | Spectrum, Llc 1211 Bradley Rd Severn MD 21144-2786 Ph: (301) 346-5394 |
| NPI Number | 1639559529 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639559529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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