Spectrum Support | |
1134 York Rd Ste 309 Timonium MD 21093-6205 | |
(443) 360-0300 | |
(443) 901-5360 |
Full Name | Spectrum Support |
---|---|
Speciality | Behavior Analyst |
Location | 1134 York Rd Ste 309, Timonium, Maryland |
Authorized Official Name and Position | Joy F Johnson (OWNER) |
Authorized Official Contact | 2232236792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectrum Support 302 E Belvedere Ave Baltimore MD 21212-3033 Ph: (228) 223-6792 | Spectrum Support 1134 York Rd Ste 309 Timonium MD 21093-6205 Ph: (443) 360-0300 |
NPI Number | 1194311324 |
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Provider Enumeration Date | 12/11/2020 |
Last Update Date | 03/11/2023 |
Certification Date | 03/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194311324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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