| Spectrum Of Grace | |
|
5504 Rock Canyon Rd The Colony TX 75056-3796 | |
| (951) 230-2160 | |
| Not Available |
| Full Name | Spectrum Of Grace |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5504 Rock Canyon Rd, The Colony, Texas |
| Authorized Official Name and Position | Adrena Streetz (OWNER/ BCBA) |
| Authorized Official Contact | 9512302160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Of Grace 5504 Rock Canyon Rd The Colony TX 75056-3796 Ph: (951) 230-2160 | Spectrum Of Grace 5504 Rock Canyon Rd The Colony TX 75056-3796 Ph: (951) 230-2160 |
| NPI Number | 1457967721 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457967721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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