| Spectrum Squad Llc | |
|
877 Shining Rose Pl Henderson NV 89052-8663 | |
| (702) 290-8920 | |
| Not Available |
| Full Name | Spectrum Squad Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 877 Shining Rose Pl, Henderson, Nevada |
| Authorized Official Name and Position | Quiana Blake (OWNER) |
| Authorized Official Contact | 7022908920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Squad Llc 877 Shining Rose Pl Henderson NV 89052-8663 Ph: () - | Spectrum Squad Llc 877 Shining Rose Pl Henderson NV 89052-8663 Ph: (702) 290-8920 |
| NPI Number | 1609680537 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609680537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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